ANTONIO URBINA OD
NPI 1730558065
Optometrist in San Antonio, TX
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Antonio Urbina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78249
- Reassigned Medicare billing, Texas enrollment
- 396 clinicians in this Medicare group
San Antonio, TX 78260
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Antonio Urbina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Urbina reassigns Medicare benefits to 2 organizations: Med Southwest, PLLC (San Antonio, TX) and Urbina Family Eyecare LLC (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Urbina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 17 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.
# Antonio Urbina, OD · NPI 1730558065
Optometrist provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since September 16, 2015.
## Identity
- **NPI:** 1730558065 (Entity type: Individual)
- **Enumerated:** September 16, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 8776T (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6818 HEUERMANN RD, San Antonio, TX 78256-9603
- **Phone:** (210) 308-5550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Med Southwest, PLLC (NPI 1467115733, San Antonio, TX); Urbina Family Eyecare LLC (NPI 1578296620, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730558065) · Data from the CMS NPPES public registry.