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DR. PETER BEALKA M.D.
NPI 1790133775
Ophthalmology in Gatesville, TX

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
2406 S. BUSINESS HIGHWAY 36, GATESVILLE, TX 76528(254) 865-4267(254) 865-8293 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Bealka M.d. NPPES

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

DR. PETER BEALKA M.D. (NPI 1790133775) is an individual ophthalmology provider in Gatesville, Texas, licensed in Texas (S6357) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Coryell Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790133775
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PETER BEALKACredential: M.D.
Location Address2406 S. BUSINESS HIGHWAY 36Gatesville, TX 76528
Mailing Address2406 S. Business Highway 36Gatesville, TX 76528 · (254) 865-4267 · Fax (254) 865-8293
Phone(254) 865-4267
Fax(254) 865-8293
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2020
Enumeration DateMay 31, 2016
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1790133775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · S6357
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.
2406 S. BUSINESS HIGHWAY 36, Gatesville, TX 76528
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Secondary Practice Locations 2

Location 1601 East 15th Street, CEC 2.433, UT Austin Dell Medical School Transitional ProgramAustin, TX 78701-1930 · Phone (512) 324-9999 ext. 87149
Location 21400 E Franklin StHillsboro, TX 76645-2676 · Phone (254) 582-0282 · Fax (254) 582-0400

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

Dr. Peter Bealka 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 ID648562116
PECOS Enrollment IDI20200527003163
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 14

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.

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.
307 services277 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.
293 services224 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
181 services124 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.
82 services82 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
78 services52 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).
71 services64 patients

Hospital Affiliations CMS Care Compare

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

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451379
Location1507 W Main StreetGatesville, TX 76528 · Coryell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76528 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.

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
1 supplier16 claims16 services$52.22 avg. paid by Medicare
Lens, polycarbonate or equal, any index, per lens V2784
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims26 services$29.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Peter Bealka's NPI number?

The NPI number for Peter Bealka is 1790133775. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Peter Bealka located?

Peter Bealka practices at 2406 S. Business Highway 36, Gatesville, TX 76528. The listed phone number is (254) 865-4267.

What is Peter Bealka's specialty?

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

Is Peter Bealka enrolled in Medicare?

Yes. Peter Bealka 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 Peter Bealka 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 8 other insurers list Peter Bealka 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.

Is Peter Bealka affiliated with any hospitals?

According to CMS data, Peter Bealka is affiliated with Coryell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Peter Bealka was last updated on September 17, 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.