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VISHWARADH GOLI REDDY
NPI 1811457666
Ophthalmology in Frisco, TX

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
77.2/100
CMS Quality Rating
5266 INDEPENDENCE PKWY STE 150, FRISCO, TX 75035(469) 287-9519(469) 917-1368 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2025, Nov 7, 2024, Oct 14, 2020 and 2 more (5 updates tracked since 2019).

About Vishwaradh Goli Reddy NPPES

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

VISHWARADH GOLI REDDY (NPI 1811457666) is an individual ophthalmology provider in Frisco, Texas, licensed in Texas (U4612) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2019).

NPPES Registry Identity

NPI1811457666
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameVISHWARADH GOLI REDDY
Location Address5266 INDEPENDENCE PKWY STE 150Frisco, TX 75035-5544
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Phone(469) 287-9519
Fax(469) 917-1368
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateMay 27, 20255 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1811457666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in TX · U4612✔ Licensed in AL · MD.51106✔ Licensed in IL · 125074574
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5266 INDEPENDENCE PKWY STE 150, Frisco, TX 75035
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273
Location 22160 S 1st AveMaywood, IL 60153-3328 · Phone (214) 693-9513
Location 3646 Cox Creek Pkwy Ste AFlorence, AL 35630-1189 · Phone (256) 760-1771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vishwaradh Goli Reddy 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 ID4981037108
PECOS Enrollment IDI20230918003420, I20250610003122
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Vishwaradh Reddy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Texas Eye Care Associates PLLC
102 mi
Ophthalmology
2440 E 5TH ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1427029024 (903) 595-0500
Grene Vision Group LLC
284 mi
Optometrist
117 E NINTH
Winfield, KS 67156
  • Reassigned Medicare billing, Kansas enrollment
  • 45 clinicians in this Medicare group
NPI 1295940633 (620) 221-0740
Florence Ophthalmology LLC
535 mi
Ophthalmology
646 COX CREEK PKWY STE A
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 11 clinicians in this Medicare group
NPI 1932314473 (256) 760-1771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.
279 services143 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.
270 services147 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
176 services171 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.
171 services171 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.
116 services79 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.
114 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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.

77.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.29
Improvement Activities40
Cost36.3

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 Vishwaradh Reddy's NPI number?

The NPI number for Vishwaradh Reddy is 1811457666. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Vishwaradh Reddy located?

Vishwaradh Reddy practices at 5266 Independence Pkwy Ste 150, Frisco, TX 75035. The listed phone number is (469) 287-9519.

What is Vishwaradh Reddy's specialty?

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

Is Vishwaradh Reddy enrolled in Medicare?

Yes. Vishwaradh Reddy 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.

Which organizations bill Medicare for Vishwaradh Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishwaradh Reddy reassigns Medicare benefits to 3 organizations: East Texas Eye Care Associates PLLC (Tyler, TX), Grene Vision Group LLC (Winfield, KS) and Florence Ophthalmology LLC (Florence, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vishwaradh Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vishwaradh Reddy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 6 other insurers list Vishwaradh Reddy 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 Vishwaradh Reddy was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.