DR. THOMAS O OEI MD
NPI 1861468530
Ophthalmology - Retina Specialist in San Antonio, TX

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 ISOM RD, SAN ANTONIO, TX 78216(210) 880-3000(210) 227-6056 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2026, Apr 17, 2017, Apr 14, 2017 (3 updates tracked since 2017).

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, is affiliated with Peterson Regional Medical Center, and maintains a secondary practice location in Kerrville.

NPPES Registry Identity

NPI1861468530
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. THOMAS O OEICredential: MD
Location Address622 ISOM RDSan Antonio, TX 78216-4464
Mailing Address622 Isom RdSan Antonio, TX 78216-4464 · (210) 880-3000 · Fax (210) 227-6056
Fax(210) 227-6056
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1988
Enumeration DateFebruary 23, 2006
Last NPPES UpdateMay 1, 20263 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1861468530 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 · H7332
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License H7332 (TX)
622 ISOM RD, San Antonio, TX 78216

Secondary Practice Location 1

Location 1120 Francisco Lemos St SKerrville, TX 78028-5211 · Phone (210) 880-3000 · Fax (210) 227-6056

Other Identifiers 2

Other180044173TX · Railroad Medicare
Medicaid098939403TX

Accepted 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

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.

PECOS PAC ID2961463179
PECOS Enrollment IDI20101112001007
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 Reassignment

Medicare enrollment records show Thomas Oei reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
622 ISOM RD
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group

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 24

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
114,180 services346 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.
5,069 services1,254 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.
2,813 services448 patients
Exam of retinal blood vessels using a special camera after injection of a dye 92235
This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.
2,429 services1,197 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.
1,970 services701 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
1,865 services1,168 patients

Hospital Affiliations CMS Care Compare

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

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.

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

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%1,124 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%375 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
5%78 patients5/55-star benchmark: 91%
Diabetic Macular Edema - Loss of Visual Acuity
100%157 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
99%557 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%8,076 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
80%1,650 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,779 patients
Patients screened: 100% · 1,779 patients
98%88 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%824 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,873 patients
Patients totalRate: 0% · 1,873 patients
0%1,873 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 6

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

Physical Therapist
622 ISOM RD
SAN ANTONIO, TX 78216
Ophthalmology (Retina Specialist)
622 ISOM RD
SAN ANTONIO, TX 78216
Radiology (Diagnostic Radiology)
622 ISOM RD
SAN ANTONIO, TX 78216
Nurse Practitioner
622 ISOM RD
SAN ANTONIO, TX 78216
Ophthalmology
622 ISOM RD
SAN ANTONIO, TX 78216
Ophthalmology (Retina Specialist)
622 ISOM RD
SAN ANTONIO, TX 78216

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 Thomas Oei's NPI number?

The NPI number for Thomas Oei is 1861468530. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Thomas Oei located?

Thomas Oei practices at 622 Isom Rd, San Antonio, TX 78216. The listed phone number is (210) 880-3000.

What is Thomas Oei's specialty?

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

Is Thomas Oei enrolled in Medicare?

Yes. Thomas Oei 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 organization bills Medicare for Thomas Oei's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Oei reassigns Medicare benefits to Thomas Omar Oei MD PA (San Antonio, TX). The 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 Thomas Oei's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Oei 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 Thomas Oei 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 Thomas Oei affiliated with any hospitals?

According to CMS data, Thomas Oei is affiliated with Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Oei was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.