Active NPI 1063733137 Individual Practitioner Male Practitioner

Dr. Sean Paul , MD

Ophthalmology • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sean Paul, MD is a certified Ophthalmology practicing in Austin, TX. With approximately 17 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2009, Dr. Paul delivers high-quality medical care to the local community at 4316 JAMES CASEY ST.

Dr. Paul is affiliated with Austin Oculoplastics Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of content of eyes, exam of visual field with limited testing, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4316 James Casey St
Bldg F Ste 201

Austin, TX 787451116

Telephone 5126425050

Fax 5126428186

Associated Practice Facility / Clinic

🏢 South Austin Womens Healthcare Pa Facility NPI 1659480481

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Austin, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -7.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

116 Specialists

Practicing in Austin, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (17 Years) 17 Yrs

Austin Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	35	34	$83.06	$22.71
92081 Exam of visual field with limited testing	34	33	$102.60	$25.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$587.44	$165.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$391.29	$107.42
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$321.36	$90.50
15823 Removal of excessive skin and fat of upper eyelid	16	16	$2878.96	$809.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$456.75	$128.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	27	24	$76.78	$23.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$517.66	$164.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$378.71	$106.96
92081 Exam of visual field with limited testing	24	22	$105.83	$29.53
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$248.63	$89.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$183.70	$55.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$332.59	$164.23
92285 Photography of content of eyes	48	45	$46.48	$22.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$223.16	$110.58
92081 Exam of visual field with limited testing	26	26	$56.13	$25.36
15823 Removal of excessive skin and fat of upper eyelid	19	19	$1625.17	$739.59
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$181.45	$86.94
67900 Repair of brow paralysis	16	16	$1470.08	$363.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$333.35	$163.67
92285 Photography of content of eyes	40	38	$45.53	$22.18
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$182.35	$91.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$224.21	$108.46
15823 Removal of excessive skin and fat of upper eyelid	16	16	$1564.34	$690.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$258.20	$128.63
92081 Exam of visual field with limited testing	14	14	$59.43	$24.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	42	$150.68	$73.48
92285 Photography of content of eyes	47	47	$43.51	$21.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$325.73	$155.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$212.75	$105.06
15823 Removal of excessive skin and fat of upper eyelid	21	21	$1578.50	$746.97
92081 Exam of visual field with limited testing	18	18	$59.28	$26.92
67900 Repair of brow paralysis	18	18	$1418.23	$382.27
67904 Repair of tendon of upper eyelid	11	11	$1542.43	$787.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	88	85	$42.84	$20.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$215.17	$104.60
99213 Established patient office or other outpatient visit, typically 15 minutes	69	63	$148.77	$73.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$326.76	$159.29
15823 Removal of excessive skin and fat of upper eyelid	51	50	$1519.35	$714.23
92081 Exam of visual field with limited testing	31	30	$69.44	$31.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$90.36	$44.57
67900 Repair of brow paralysis	19	18	$1055.47	$364.20
67904 Repair of tendon of upper eyelid	17	17	$1655.98	$740.30
67840 Removal of eyelid growth	17	15	$565.99	$270.25
67917 Extensive repair of turning-outward eyelid defect	15	12	$1054.42	$387.39
68815 Probing of nasal-tear duct with insertion of tube or stent	12	11	$529.48	$120.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	136	$122.31	$68.33
92285 Photography of content of eyes	154	145	$52.40	$17.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$195.82	$100.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$287.76	$152.37
92081 Exam of visual field with limited testing	68	65	$90.75	$32.42
15823 Removal of excessive skin and fat of upper eyelid	66	66	$1695.45	$741.46
67900 Repair of brow paralysis	46	46	$1434.73	$379.18
67840 Removal of eyelid growth	24	23	$639.61	$257.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$84.91	$41.30
67904 Repair of tendon of upper eyelid	15	15	$1667.30	$675.99
67917 Extensive repair of turning-outward eyelid defect	12	12	$1336.88	$465.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$175.40	$101.00
92285 Photography of content of eyes	155	154	$60.00	$18.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$249.51	$152.69
99213 Established patient office or other outpatient visit, typically 15 minutes	99	72	$100.45	$68.65
15823 Removal of excessive skin and fat of upper eyelid	69	69	$1705.80	$735.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$75.81	$40.72
92081 Exam of visual field with limited testing	39	39	$107.44	$32.42
99202 New patient office or other outpatient visit, typically 20 minutes	34	33	$103.24	$68.74
67840 Removal of eyelid growth	29	27	$694.83	$257.50
67917 Extensive repair of turning-outward eyelid defect	21	20	$1547.62	$491.23
67900 Repair of brow paralysis	20	20	$1510.00	$365.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$177.50	$100.05
92082 Exam of visual field with intermediate testing	17	17	$75.00	$45.07
68810 Insertion of probe into nasal tear duct	15	15	$590.67	$183.46
67904 Repair of tendon of upper eyelid	15	15	$1713.33	$651.88

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX Q2823

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.

Hospital & Practice Group Affiliations

Austin Oculoplastics Pllc

7004 Bee Caves Rd, West Lake Hills, TX 787465087

Phone: 5126425050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Fereshteh Azad , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1033738497

Doctor of Medicine (M.D.)

Dr. Christopher Schneider , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1114345048

Doctor of Medicine (M.D.)

Dr. Mitchell Gauger , MD

Plastic Surgery

NPI 1235791005

Doctor of Medicine (M.D.)

Dr. Russell Frautschi , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1700375862

Doctor of Medicine (M.D.)

Dr. Dallas Wolford , MD

Surgery

NPI 1720584964

Doctor of Medicine (M.D.)

Lauren Laube , PA

Physician Assistant - Surgical

NPI 1912540006

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2016

Registered at 4316 JAMES CASEY ST, BLDG F STE 201, AUSTIN, TX 787451116 (Tel: 5126425050)

📍

Updated Business Mailing Address August 17, 2016

Registered at 4316 JAMES CASEY ST, BLDG F STE 201, AUSTIN, TX 787451116 (Tel: 5126425050)

👤

Provider Name / Credentials Updated August 17, 2016

Recorded as SEAN PAUL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2016

Ophthalmology (License #Q2823 in TX)

🟢

Initial NPI Registration & Enumeration June 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063733137

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 11, 2010

Last Update: August 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4316 James Casey St, Bldg F Ste 201

Austin, TX 787451116

Phone: 5126425050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.