DR. MELANIE MARIE PROSISE OD
NPI 1801988316
Optometrist in Austin, TX

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
3410 FAR WEST BLVD, SUITE 140, AUSTIN, TX 78731(512) 427-1100(512) 427-1207 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Melanie Marie Prosise Od NPPES

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

DR. MELANIE MARIE PROSISE OD (NPI 1801988316) is an individual optometrist in Austin, Texas, licensed in Texas (06143TG) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2001).

NPPES Registry Identity

NPI1801988316
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MELANIE MARIE PROSISECredential: OD
Location Address3410 FAR WEST BLVD, SUITE 140Austin, TX 78731-3167
Mailing Address3410 Far West Blvd, Suite 140Austin, TX 78731-3194 · (512) 427-1100 · Fax (512) 427-1208
Fax(512) 427-1207
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2001
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMarch 28, 2012
NPI 1801988316 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 TX · 06143TG
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.
3410 FAR WEST BLVD, Austin, TX 78731

Other Names 1

Other Name (5)Dr. Melanie Marie Prosise Lein Od

Other Identifiers 3

Medicare UPINU86868
Medicaid157449301TX
Medicare PIN8J2156TX

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. Melanie Marie Prosise 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 ID7113020538
PECOS Enrollment IDI20070305000718
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 8

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.
187 services178 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.
151 services125 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.
73 services69 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).
66 services64 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.
59 services58 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
57 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost50

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
3410 FAR WEST BLVD, SUITE 140
AUSTIN, TX 78731
Dentist (General Practice)
3410 FAR WEST BLVD, STE. 340
AUSTIN, TX 78731
Chiropractor
3410 FAR WEST BLVD, SUITE 100
AUSTIN, TX 78731
Acupuncturist
3410 FAR WEST BLVD, SUITE 301
AUSTIN, TX 78731
Chiropractor
3410 FAR WEST BLVD, STE. 100
AUSTIN, TX 78731
Allergy & Immunology
3410 FAR WEST BLVD, #146
AUSTIN, TX 78731
Allergy & Immunology (Allergy)
3410 FAR WEST BLVD, 146
AUSTIN, TX 78731
Ophthalmology
3410 FAR WEST BLVD, SUITE 140
AUSTIN, TX 78731

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 Melanie Prosise's NPI number?

The NPI number for Melanie Prosise is 1801988316. It was assigned to this individual provider in the NPPES registry on September 29, 2006. The provider is also known as Dr. Melanie Marie Prosise Lein Od.

Where is Melanie Prosise located?

Melanie Prosise practices at 3410 Far West Blvd Suite 140, Austin, TX 78731. The listed phone number is (512) 427-1100.

What is Melanie Prosise's specialty?

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

Is Melanie Prosise enrolled in Medicare?

Yes. Melanie Prosise 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 Melanie Prosise accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Providence Health Plan and 2 other insurers list Melanie Prosise 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 Melanie Prosise was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.