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ANTONIO URBINA OD
NPI 1730558065
Optometrist in San Antonio, TX

Active since September 16, 2015PECOS EnrolledAccepts Medicare Assignment
76.31/100
CMS Quality Rating
6818 HEUERMANN RD, SAN ANTONIO, TX 78256(210) 308-5550 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Urbina Od NPPES

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

ANTONIO URBINA OD (NPI 1730558065) is an individual optometrist in San Antonio, Texas, licensed in Texas (8776T) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730558065
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANTONIO URBINACredential: OD
Location Address6818 HEUERMANN RDSan Antonio, TX 78256-9603
Mailing Address6818 Heuremann RoadSan Antonio, TX 78256 · (210) 308-5550
Phone(210) 308-5550
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2015
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1730558065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 8776T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6818 HEUERMANN RD, San Antonio, TX 78256
Open in Google Maps ↗

Secondary Practice Location 1

Location 122906 US Highway 281 N Ste 101San Antonio, TX 78258-7635 · Phone (210) 495-7483

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

Antonio Urbina Od 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 ID6901187921
PECOS Enrollment IDI20170106000969
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 3

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 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.
31 services22 patients
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.
17 services17 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78256 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost21.03

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ULTRAOPTIK LLC
Optometrist
6818 HEUERMANN RD
SAN ANTONIO, TX 78256
Bexar County (210) 698-6785
TU DAO OD
Optometrist
6818 HEUERMANN RD
SAN ANTONIO, TX 78256
Bexar County (210) 308-5550
SAHITYA PODILA MD
Ophthalmology
6818 HEUERMANN RD
SAN ANTONIO, TX 78256
Bexar County (210) 308-5550
MRS. SARA BETH HYATT OD
Optometrist
6818 HEUERMANN RD
SAN ANTONIO, TX 78256
Bexar County (210) 308-5550

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 Antonio Urbina's NPI number?

The NPI number for Antonio Urbina is 1730558065. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Antonio Urbina located?

Antonio Urbina practices at 6818 Heuermann Rd, San Antonio, TX 78256. The listed phone number is (210) 308-5550.

What is Antonio Urbina's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Antonio Urbina enrolled in Medicare?

Yes. Antonio Urbina 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 Antonio Urbina 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 10 other insurers list Antonio Urbina 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.

When was this NPI record last updated?

The NPPES record for Antonio Urbina was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.