ANTHONY CORTES III OD
NPI 1932805272
Optometrist in Krugerville, TX

Q: What is Anthony Cortes's NPI number?

The NPI number for Anthony Cortes is 1932805272. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Q: What is Anthony Cortes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Cortes was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 07, 2023PECOS Enrolled

5246 US HIGHWAY 377 S STE 1, KRUGERVILLE, TX 76227(940) 365-0440 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Anthony Cortes Iii Od NPPES

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

ANTHONY CORTES III OD (NPI 1932805272) is an individual optometrist in Krugerville, Texas, licensed in Texas (10744) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Southern College Of Optometry (2022).

NPPES Registry Identity

NPI1932805272

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameANTHONY CORTES IIICredential: OD

Location Address5246 US HIGHWAY 377 S STE 1Krugerville, TX 76227-1216

Mailing AddressPo Box 208904Dallas, TX 75320-8904

Phone(940) 365-0440

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2022

Enumeration DateFebruary 7, 2023

Last NPPES UpdateFebruary 8, 2023

NPPES CertifiedFebruary 8, 2023

✔ NPI 1932805272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 10744

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.

5246 US HIGHWAY 377 S STE 1, Krugerville, TX 76227

Open in Google Maps ↗

Secondary Practice Locations 3

Location 17638 Stonebrook PkwyFrisco, TX 75034-1003 · Phone (972) 712-1010

Location 23140 Legacy Dr Ste 500Frisco, TX 75034-8340 · Phone (214) 619-5580

Location 33924 N Tarrant PkwyFort Worth, TX 76244-5410 · Phone (817) 514-2114

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Anthony Cortes Iii Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719345156

PECOS Enrollment IDI20230616002626

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 3

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.

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.

43 services43 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.

24 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76227 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.

Other Providers at the Same Location NPPES

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

DR. MARK WEI-LI YEH O.D.

Optometrist

5246 US HIGHWAY 377 S STE 1
KRUGERVILLE, TX 76227

Denton County (972) 658-3268

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 Anthony Cortes's NPI number?

The NPI number for Anthony Cortes is 1932805272. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Anthony Cortes located?

Anthony Cortes practices at 5246 Us Highway 377 S Ste 1, Krugerville, TX 76227. The listed phone number is (940) 365-0440.

What is Anthony Cortes's specialty?

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

Is Anthony Cortes enrolled in Medicare?

Yes. Anthony Cortes is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Cortes 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 5 other insurers list Anthony Cortes 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 Anthony Cortes was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.