THEODORE E HACKL
NPI 1881857662
Ophthalmology in San Angelo, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
3605 EXECUTIVE DR, SAN ANGELO, TX 76904(325) 949-9555 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theodore E Hackl NPPES

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

THEODORE E HACKL (NPI 1881857662) is an individual ophthalmology provider in San Angelo, Texas, licensed in Texas (P2662) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2008).

NPPES Registry Identity

NPI1881857662
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTHEODORE E HACKL
Location Address3605 EXECUTIVE DRSan Angelo, TX 76904-6884
Mailing Address3555 Knickerbocker RdSan Angelo, TX 76904-7610 · (325) 949-9555
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2008
Enumeration DateJuly 2, 2008
Last NPPES UpdateJune 9, 2014
NPI 1881857662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · P2662
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.

3605 EXECUTIVE DR, San Angelo, TX 76904

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

Theodore E Hackl 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 ID9830354596
PECOS Enrollment IDI20120702000114
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 20

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
932 services874 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.
642 services539 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.
397 services251 patients
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.
256 services172 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).
229 services215 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.
208 services135 patients

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76904 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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

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.

Orthopaedic Surgery
3605 EXECUTIVE DR
SAN ANGELO, TX 76904
Urology
3605 EXECUTIVE DR
SAN ANGELO, TX 76904
Ophthalmology
3605 EXECUTIVE DR
SAN ANGELO, TX 76904
Registered Nurse
3605 EXECUTIVE DR
SAN ANGELO, TX 76904
Physical Therapist
3605 EXECUTIVE DR
SAN ANGELO, TX 76904
Clinical Nurse Specialist
3605 EXECUTIVE DR
SAN ANGELO, TX 76904
Podiatrist
3605 EXECUTIVE DR
SAN ANGELO, TX 76904
Audiologist
3605 EXECUTIVE DR
SAN ANGELO, TX 76904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881857662, enumerated as an "individual" on July 02, 2008.

The provider is located at 3605 EXECUTIVE DR SAN ANGELO, TX 76904 and the phone number is (325) 949-9555.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Theodore Hackl is affiliated with: SHANNON MEDICAL CENTER.