THEODORE EDWARD MARGO M.D.
NPI 1780680892
Ophthalmology in Fort Worth, TX

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
1201 SUMMIT AVE, FORT WORTH, TX 76102(817) 332-2020(817) 332-4797 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore Edward Margo M.d. NPPES

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

THEODORE EDWARD MARGO M.D. (NPI 1780680892) is an individual ophthalmology provider in Fort Worth, Texas, licensed in Texas (H8231) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1989).

NPPES Registry Identity

NPI1780680892
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTHEODORE EDWARD MARGOCredential: M.D.
Location Address1201 SUMMIT AVEFort Worth, TX 76102-4427
Mailing Address1201 Summit AveFort Worth, TX 76102-4427 · (817) 332-2020 · Fax (817) 332-4797
Fax(817) 332-4797
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1989
Enumeration DateJune 23, 2005
Last NPPES UpdateMay 13, 2014
NPI 1780680892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · H8231
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.
1201 SUMMIT AVE, Fort Worth, TX 76102

Other Identifiers 5

Other88Z900TX · Bcbs
Medicare PIN180027759TX
Medicare UPINF56961TX
Medicaid132407101TX
Medicare PIN88Z900TX

Accepted 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

Theodore Edward Margo M.d. 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 ID9335284124
PECOS Enrollment IDI20100304000399
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 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 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.
384 services365 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.
366 services355 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.
249 services210 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.
182 services177 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
139 services88 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
137 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76102 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost67.15

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers13 claims13 services$51.63 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims22 services$8.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Technician/Technologist (Optician)
1201 SUMMIT AVE
FORT WORTH, TX 76102
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FORT WORTH, TX 76102
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102

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 Theodore Margo's NPI number?

The NPI number for Theodore Margo is 1780680892. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Theodore Margo located?

Theodore Margo practices at 1201 Summit Ave, Fort Worth, TX 76102. The listed phone number is (817) 332-2020.

What is Theodore Margo's specialty?

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

Is Theodore Margo enrolled in Medicare?

Yes. Theodore Margo 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 Theodore Margo accept?

Health plans from Providence Health Plan list Theodore Margo 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 Theodore Margo was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.