DR. THOMAS O OEI MD
NPI 1861468530
Ophthalmology - Retina Specialist in San Antonio, TX
About Dr. Thomas O Oei Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS O OEI MD (NPI 1861468530) is an individual retina specialist in San Antonio, Texas, licensed in Texas (H7332) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kerrville, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1988).
NPPES Registry Identity
Specialties & Licenses 2
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Secondary Practice Location 1
Other Identifiers 2
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. Thomas O Oei 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.
Areas of Expertise CMS Part B claims 24
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | 1124 |
| Diabetes: Eye Exam | 100% | 375 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 5% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 78 |
| Diabetic Macular Edema - Loss of Visual Acuity | 100% | 157 |
| Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 99% | 557 |
| Documentation of Current Medications in the Medical Record | 100% | 8076 |
| Glaucoma Intraocular Pressure Reduction | 80% | 1650 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 1779 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | 88 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 1779 |
| Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care | 100% | 824 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1873 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1873 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1873 |
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861468530, enumerated as an "individual" on February 23, 2006.
The provider is located at 622 ISOM RD SAN ANTONIO, TX 78216 and the phone number is (210) 880-3000.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
