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DR. JAMES R. HANNIGAN O.D.
NPI 1891782223
Optometrist - Corneal and Contact Management in Liberty Hill, TX

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
14370 W. HWY. 29, SUITE 8, LIBERTY HILL, TX 78642(512) 515-5100(512) 515-0500 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James R. Hannigan O.d. NPPES

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

DR. JAMES R. HANNIGAN O.D. (NPI 1891782223) is an individual corneal and contact management provider in Liberty Hill, Texas, licensed in Texas (2370TG) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1976).

NPPES Registry Identity

NPI1891782223
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. JAMES R. HANNIGANCredential: O.D.
Location Address14370 W. HWY. 29, SUITE 8Liberty Hill, TX 78642
Mailing Address14370 W. Hwy. 29, Suite 8Liberty Hill, TX 78642 · (512) 515-5100 · Fax (512) 515-0500
Phone(512) 515-5100
Fax(512) 515-0500
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1976
Enumeration DateSeptember 30, 2005
Last NPPES UpdateNovember 16, 2012
✔ NPI 1891782223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in TX · 2370TG
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 2370TG (TX)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 2370TG (TX)
14370 W. HWY. 29, Liberty Hill, TX 78642
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Other Identifiers 3

Medicaid1180713-05TX
Medicare UPINT93165TX
Medicare ID-Type Unspecified8E0487TX · Individual-group #00726y

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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. James R. Hannigan O.d. 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 ID1153376876
PECOS Enrollment IDI20050316000087
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 6

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
167 services164 patients
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.
139 services139 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services18 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.
17 services13 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78642 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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
81%42 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%42 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%24 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
7%29 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%2,658 patients3/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
86%2,537 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%2,734 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
22%2,734 patients1/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%386 patients
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

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

LIBERTY HILL EYE ASSOCIATES, LLC
Optometrist
14370 W. HWY. 29, SUITE 8
LIBERTY HILL, TX 78642
Williamson County (512) 515-5100

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 James Hannigan's NPI number?

The NPI number for James Hannigan is 1891782223. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is James Hannigan located?

James Hannigan practices at 14370 W. Hwy. 29 Suite 8, Liberty Hill, TX 78642. The listed phone number is (512) 515-5100.

What is James Hannigan's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is James Hannigan enrolled in Medicare?

Yes. James Hannigan 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 James Hannigan accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list James Hannigan 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 James Hannigan was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.