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DR. PRISCILLA J METCALF MD
NPI 1699739797
Ophthalmology in Wharton, TX

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
10119 US HIGHWAY 59 SOUTH, SUITE 4, WHARTON, TX 77488(979) 533-7337(979) 488-2918 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2022, Dec 20, 2021 (2 updates tracked since 2021).

About Dr. Priscilla J Metcalf Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRISCILLA J METCALF MD (NPI 1699739797) is an individual ophthalmology provider in Wharton, Texas, licensed in Texas (G2783) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Oakbend Medical Center, and maintains a secondary practice location in Bay City.

NPPES Registry Identity

NPI1699739797
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. PRISCILLA J METCALFCredential: MD
Location Address10119 US HIGHWAY 59 SOUTH, SUITE 4Wharton, TX 77488-9719
Mailing Address10119 Us Highway 59 South, Suite 4Wharton, TX 77488-9719 · (979) 533-7337 · Fax (979) 488-2918
Phone(979) 533-7337
Fax(979) 488-2918
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1978
Enumeration DateApril 14, 2006
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1699739797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · G2783
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
10119 US HIGHWAY 59 SOUTH, Wharton, TX 77488
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Secondary Practice Location 1

Location 1111 Avenue FBay City, TX 77414-4117 · Phone (979) 245-2008

Other Identifiers 3

Medicaid119164508TX
OtherP01948495TX · Railroad Medicare Ptan
Other8HB479TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Priscilla J Metcalf Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688707508
PECOS Enrollment IDI20100729000364
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
165 services163 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
137 services100 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services53 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
41 services41 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
24 services24 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
23 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450330
Location1705 Jackson StRichmond, TX 77469 · Fort Bend County
Emergency services Birthing friendly

Matagorda Regional Medical Center

Acute Care Hospitals · Bay City, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450465
Location104 7th StreetBay City, TX 77414 · Matagorda County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77488 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priscilla Metcalf's NPI number?

The NPI number for Priscilla Metcalf is 1699739797. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Priscilla Metcalf located?

Priscilla Metcalf practices at 10119 Us Highway 59 South Suite 4, Wharton, TX 77488. The listed phone number is (979) 533-7337.

What is Priscilla Metcalf's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Priscilla Metcalf enrolled in Medicare?

Yes. Priscilla Metcalf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Priscilla Metcalf accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Priscilla Metcalf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Priscilla Metcalf affiliated with any hospitals?

According to CMS data, Priscilla Metcalf is affiliated with Oakbend Medical Center and Matagorda Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Priscilla Metcalf was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.