PRETHY RAO MD
NPI 1982967998
Ophthalmology in Bellaire, TX

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6565 WEST LOOP S STE 400, BELLAIRE, TX 77401(713) 799-9975(713) 799-1095 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Jan 4, 2024, May 3, 2021 and 4 more (7 updates tracked since 2016).

About Prethy Rao Md NPPES

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

PRETHY RAO MD (NPI 1982967998) is an individual ophthalmology provider in Bellaire, Texas, licensed in Texas (S9209) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982967998
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NamePRETHY RAOCredential: MD
Location Address6565 WEST LOOP S STE 400Bellaire, TX 77401-3510
Mailing Address6565 West Loop S Ste 400Bellaire, TX 77401-3510 · (713) 799-9975 · Fax (713) 799-1095
Fax(713) 799-1095
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2012
Last NPPES UpdateAugust 21, 20247 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1982967998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in TX · S9209 Licensed in GA · 79681 Licensed in MI · 4301101141
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 79681 (GA), 4301101141 (MI), S9209 (TX)
6565 WEST LOOP S STE 400, Bellaire, TX 77401

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

Prethy Rao Md 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 ID1759512015
PECOS Enrollment IDI20210208001389
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 16

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,760 services23 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.
1,095 services402 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.
827 services334 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
777 services272 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
642 services82 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
600 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Ophthalmology
6565 WEST LOOP S STE 400
BELLAIRE, TX 77401
Ophthalmology (Retina Specialist)
6565 WEST LOOP S STE 400
BELLAIRE, TX 77401
Ophthalmology (Retina Specialist)
6565 WEST LOOP S STE 400
BELLAIRE, TX 77401
Ophthalmology (Retina Specialist)
6565 WEST LOOP S STE 400
BELLAIRE, TX 77401
Ophthalmology
6565 WEST LOOP S STE 400
BELLAIRE, TX 77401

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 Prethy Rao's NPI number?

The NPI number for Prethy Rao is 1982967998. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Prethy Rao located?

Prethy Rao practices at 6565 West Loop S Ste 400, Bellaire, TX 77401. The listed phone number is (713) 799-9975.

What is Prethy Rao's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Prethy Rao enrolled in Medicare?

Yes. Prethy Rao 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 Prethy Rao 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 6 other insurers list Prethy Rao 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 Prethy Rao was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.