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WANDA M NORTHAM MD
NPI 1780684183
Ophthalmology in Texarkana, TX

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
4800 TEXAS BLVD STE 100, TEXARKANA, TX 75503(318) 222-8421(318) 673-9972 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda M Northam Md NPPES

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

WANDA M NORTHAM MD (NPI 1780684183) is an individual ophthalmology provider in Texarkana, Texas, licensed in Texas (J0619) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1987).

NPPES Registry Identity

NPI1780684183
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameWANDA M NORTHAMCredential: MD
Location Address4800 TEXAS BLVD STE 100Texarkana, TX 75503-3033
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (318) 222-8421
Phone(318) 222-8421
Fax(318) 673-9972
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1987
Enumeration DateJuly 28, 2005
Last NPPES UpdateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1780684183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · J0619
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.
4800 TEXAS BLVD STE 100, Texarkana, TX 75503
Open in Google Maps ↗

Other Identifiers 2

Medicaid119308001AR
Medicaid047789501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage 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

Wanda M Northam 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 ID4688764285
PECOS Enrollment IDI20091228000458
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.

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.
284 services186 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.
283 services181 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40

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 Wanda Northam's NPI number?

The NPI number for Wanda Northam is 1780684183. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Wanda Northam located?

Wanda Northam practices at 4800 Texas Blvd Ste 100, Texarkana, TX 75503. The listed phone number is (318) 222-8421.

What is Wanda Northam's specialty?

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

Is Wanda Northam enrolled in Medicare?

Yes. Wanda Northam 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 Wanda Northam accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage, Octave and UnitedHealthcare list Wanda Northam 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 Wanda Northam was last updated on December 31, 2020. 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.