DR. RONALD RICHARD KUFFEL JR. M.D.
NPI 1801895107
Ophthalmology - Retina Specialist in Corpus Christi, TX

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5656 S STAPLES ST, SUITE 280, CORPUS CHRISTI, TX 78411(361) 991-0500(361) 991-6199 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald Richard Kuffel Jr. M.d. NPPES

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

DR. RONALD RICHARD KUFFEL JR. M.D. (NPI 1801895107) is an individual retina specialist in Corpus Christi, Texas, licensed in Texas (K1514) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and is a graduate of Northwestern University Feinberg Medical School (1991).

NPPES Registry Identity

NPI1801895107
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. RONALD RICHARD KUFFEL JR.Credential: M.D.
Location Address5656 S STAPLES ST, SUITE 280Corpus Christi, TX 78411-4693
Mailing Address5656 S Staples St, Suite 280Corpus Christi, TX 78411-4693 · (361) 991-0500 · Fax (361) 991-6199
Fax(361) 991-6199
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1991
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 31, 2019
NPI 1801895107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in TX · K1514
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License K1514 (TX)
5656 S STAPLES ST, Corpus Christi, TX 78411

Other Identifiers 1

Medicaid040690201TX

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

Dr. Ronald Richard Kuffel Jr. 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 ID1254455801
PECOS Enrollment IDI20100902001037
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.

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.
317 services157 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.
304 services152 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
105 services40 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
92 services14 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
73 services63 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
50 services25 patients

Hospital Affiliations CMS Care Compare

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78411 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%505 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
99%86 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
99%428 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,286 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%679 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
89%167 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 711 patients
Patients totalRate: 0% · 711 patients
0%711 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Counselor
5656 S STAPLES ST, STE 330
CORPUS CHRISTI, TX 78411
Physical Medicine & Rehabilitation
5656 S STAPLES ST, SUITE 252
CORPUS CHRISTI, TX 78411
Physical Medicine & Rehabilitation
5656 S STAPLES ST, STE 252
CORPUS CHRISTI, TX 78411
Physical Medicine & Rehabilitation (Pain Medicine)
5656 S STAPLES ST, STE 252
CORPUS CHRISTI, TX 78411
Counselor
5656 S STAPLES ST, STE 330
CORPUS CHRISTI, TX 78411
Counselor
5656 S STAPLES ST, STE 330
CORPUS CHRISTI, TX 78411
Clinical Medical Laboratory
5656 S STAPLES ST, STE 252
CORPUS CHRISTI, TX 78411

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 Ronald Kuffel's NPI number?

The NPI number for Ronald Kuffel is 1801895107. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Ronald Kuffel located?

Ronald Kuffel practices at 5656 S Staples St Suite 280, Corpus Christi, TX 78411. The listed phone number is (361) 991-0500.

What is Ronald Kuffel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Ronald Kuffel enrolled in Medicare?

Yes. Ronald Kuffel 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 Ronald Kuffel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ronald Kuffel 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 Ronald Kuffel affiliated with any hospitals?

According to CMS data, Ronald Kuffel is affiliated with Christus Spohn Hospital Corpus Christi.

When was this NPI record last updated?

The NPPES record for Ronald Kuffel was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.