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DR. DESTINY MBIDOAKA OD
NPI 1942957683
Optometrist in El Paso, TX

Active since March 02, 2022PECOS Enrolled
8894 GATEWAY N BLVD, EL PASO, TX 79904(915) 747-7960 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Mar 2, 2022 (2 updates tracked since 2022).

About Dr. Destiny Mbidoaka Od NPPES

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

DR. DESTINY MBIDOAKA OD (NPI 1942957683) is an individual optometrist in El Paso, Texas, licensed in Texas (10501TG) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942957683
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DESTINY MBIDOAKACredential: OD
Location Address8894 GATEWAY N BLVDEl Paso, TX 79904
Mailing Address111 E 4th St Ste 440Alton, IL 62002-6206 · (618) 462-9818
Phone(915) 747-7960
Sole ProprietorNo
Enumeration DateMarch 2, 2022
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1942957683 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 · 10501TG
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.
8894 GATEWAY N BLVD, El Paso, TX 79904
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Destiny Mbidoaka Od 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 Reassignment

Medicare enrollment records show Destiny Mbidoaka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aeg Texas Professional PLLC
450 mi
Optometrist
205B W WATER ST
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 404 clinicians in this Medicare group
NPI 1457905937 (830) 896-2600

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 79904 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.

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 Destiny Mbidoaka's NPI number?

The NPI number for Destiny Mbidoaka is 1942957683. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Where is Destiny Mbidoaka located?

Destiny Mbidoaka practices at 8894 Gateway N Blvd, El Paso, TX 79904. The listed phone number is (915) 747-7960.

What is Destiny Mbidoaka's specialty?

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

Is Destiny Mbidoaka enrolled in Medicare?

Yes. Destiny Mbidoaka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Destiny Mbidoaka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Mbidoaka reassigns Medicare benefits to Aeg Texas Professional PLLC (Kerrville, TX). The 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 Destiny Mbidoaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Destiny Mbidoaka 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 15 other insurers list Destiny Mbidoaka 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 Destiny Mbidoaka was last updated on March 1, 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.