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DR. POONAM VIRENDRA NATHU O.D
NPI 1912312430
Optometrist in Frisco, TX

Active since June 23, 2014PECOS Enrolled
5253 SYLVAN SHORES DR, FRISCO, TX 75034(714) 651-6993 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Poonam Virendra Nathu O.d NPPES

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

DR. POONAM VIRENDRA NATHU O.D (NPI 1912312430) is an individual optometrist in Frisco, Texas, licensed in Texas (8572T) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912312430
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. POONAM VIRENDRA NATHUCredential: O.D
Location Address5253 SYLVAN SHORES DRFrisco, TX 75034-6411
Mailing Address5253 Sylvan Shores DrFrisco, TX 75034-6411 · (714) 651-6993
Phone(714) 651-6993
Sole ProprietorYes
Enumeration DateJune 23, 2014
Last NPPES UpdateOctober 6, 2014
✔ NPI 1912312430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 8572T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 8572T (TX)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 8572T (TX)
5253 SYLVAN SHORES DR, Frisco, TX 75034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Poonam Virendra Nathu O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Poonam Nathu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lisa M. Weiss, O.D. Optometric Corp
1,164 mi
Vision Therapy
303 E MAIN ST
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1588790273 (619) 444-1153
Total Vision PC
1,169 mi
Optometrist
11717 BERNARDO PLAZA CT STE 105
San Diego, CA 92128
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
NPI 1356813711 (858) 487-5555
Provider Profile
1,408 mi
Ophthalmology
3126 PROFESSIONAL DR, SUITE 300
Auburn, CA 95603
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1174565303 (530) 885-3767

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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…
96%193 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…
94%193 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
73%49 patients4/55-star benchmark: 95%
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
98%91 patients4/55-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.
78%1,729 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
53%289 patients2/55-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.
28%1,443 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
77%155 patients4/55-star benchmark: 90%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
95%213 patients4/55-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…
91%1,443 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,443 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 796 patients
0%796 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.

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 Poonam Nathu's NPI number?

The NPI number for Poonam Nathu is 1912312430. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Poonam Nathu located?

Poonam Nathu practices at 5253 Sylvan Shores Dr, Frisco, TX 75034. The listed phone number is (714) 651-6993.

What is Poonam Nathu's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Poonam Nathu enrolled in Medicare?

Yes. Poonam Nathu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Poonam Nathu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Nathu reassigns Medicare benefits to 3 organizations: Lisa M. Weiss, O.D. Optometric Corp (El Cajon, CA), Total Vision PC (San Diego, CA) and (Auburn, CA). Each 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 Poonam Nathu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poonam Nathu accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Poonam Nathu 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 Poonam Nathu was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.