LILIAN THOI OD
NPI 1740804798
Optometrist in Gallup, NM

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: May 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2021, Jul 16, 2020, Jun 5, 2020 (3 updates tracked since 2020).

About Lilian Thoi Od NPPES

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

LILIAN THOI OD (NPI 1740804798) is an individual optometrist in Gallup, New Mexico, licensed in Utah (11824443-9934) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740804798
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLILIAN THOICredential: OD
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address516 E Nizhoni BlvdGallup, NM 87301-5748 · (505) 722-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateMay 29, 20213 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
✔ NPI 1740804798 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 UT · 11824443-9934
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.
516 E NIZHONI BLVD, Gallup, NM 87301

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

Lilian Thoi 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 ID1052723673
PECOS Enrollment IDI20201223000959
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lilian Thoi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
516 E. NIZHONI BLVD.
Gallup, NM 87301
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
Clinic/Center
801 VASSAR DR NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, Texas enrollment
  • 133 clinicians in this Medicare group
Health Service
02C DOVE ROAD
Bernalillo, NM 87004
  • Reassigned Medicare billing, Texas enrollment
  • 65 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 15

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.
67 services48 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.
60 services45 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.
37 services37 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.
37 services37 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
32 services24 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301

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 Lilian Thoi's NPI number?

The NPI number for Lilian Thoi is 1740804798. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Lilian Thoi located?

Lilian Thoi practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Lilian Thoi's specialty?

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

Is Lilian Thoi enrolled in Medicare?

Yes. Lilian Thoi 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 Lilian Thoi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilian Thoi reassigns Medicare benefits to 3 organizations: Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, NM), Albuquerque Indian Health Center (Albuquerque, NM) and Santa Ana Health Center (Bernalillo, NM). 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 Lilian Thoi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lilian Thoi affiliated with any hospitals?

According to CMS data, Lilian Thoi is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Lilian Thoi was last updated on May 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.