VIKRAM DURAIRAJ MD
NPI 1871683540
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Austin, TX

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
69.82/100
CMS Quality Rating
3705 MEDICAL PKWY, SUITE 120, AUSTIN, TX 78705(512) 458-2141(512) 458-4824 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Feb 23, 2021, Jun 2, 2020 (3 updates tracked since 2020).

About Vikram Durairaj Md NPPES

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

VIKRAM DURAIRAJ MD (NPI 1871683540) is an individual ophthalmic plastic and reconstructive surgery provider in Austin, Texas, licensed in Texas (P8128) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of University Of Texas Medical School At San Antonio (1995).

NPPES Registry Identity

NPI1871683540
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameVIKRAM DURAIRAJCredential: MD
Location Address3705 MEDICAL PKWY, SUITE 120Austin, TX 78705-1019
Mailing Address3705 Medical Pkwy, Suite 120Austin, TX 78705-1019 · (512) 458-2141 · Fax (512) 458-4824
Fax(512) 458-4824
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1995
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 13, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1871683540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in TX · P8128
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License P8128 (TX)
3705 MEDICAL PKWY, Austin, TX 78705

Other Identifiers 1

Medicaid01758268CO

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

Vikram Durairaj 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 ID5294787669
PECOS Enrollment IDI20140319000215
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 16

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
638 services11 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
291 services283 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
239 services239 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
98 services97 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.
92 services89 patients
Shortening or advancement of upper eyelid muscle to correct drooping or paralysis 67903
This procedure involves adjusting the muscle in your upper eyelid to correct drooping or paralysis. The muscle may be shortened or advanced to help lift the eyelid to a better position. This can improve vision and give a more alert appearance. It's typically an outpatient procedure.
48 services48 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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.

69.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.32
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%71 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%70 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%126 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
0%1,223 patients1/55-star benchmark: 100%
e-Prescribing
99%1,605 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%686 patients1/55-star benchmark: 100%
HIV Screening
0%129 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%216 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%221 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%1,222 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 33% · 688 patients
33%688 patients
Provide Patients Electronic Access to Their Health Information
95%1,378 patients4/55-star benchmark: 100%
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 20

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

Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Anesthesiology
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Anesthesiology
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705

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 Vikram Durairaj's NPI number?

The NPI number for Vikram Durairaj is 1871683540. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Vikram Durairaj located?

Vikram Durairaj practices at 3705 Medical Pkwy Suite 120, Austin, TX 78705. The listed phone number is (512) 458-2141.

What is Vikram Durairaj's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Vikram Durairaj enrolled in Medicare?

Yes. Vikram Durairaj 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 Vikram Durairaj accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Vikram Durairaj 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 Vikram Durairaj affiliated with any hospitals?

According to CMS data, Vikram Durairaj is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Vikram Durairaj was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.