Active NPI 1437173663 Individual Practitioner Male Practitioner

Dr. Warren D Cross , MD

Ophthalmology • Bellaire, TX

Professional Overview & Biography Verified Profile Summary

Dr. Warren Cross, MD is a registered healthcare professional specializing in Ophthalmology in Bellaire, TX. Practice services are available at 5555 WEST LOOP SOUTH under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5555 West Loop South
Suite 150

Bellaire, TX 77401

Telephone 7136664224

Fax 7136662203

Associated Practice Facility / Clinic

🏢 Plaza Eye Clinic, Pa Facility NPI 1487761292

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Bellaire, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

28 Specialists

Practicing in Bellaire, TX (1616 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
92014 Established patient complete exam of visual system	271	262	$140.00	$130.41
92012 Established patient problem focused exam of visual system	193	156	$100.00	$92.18
92134 Imaging of retina	134	132	$85.00	$41.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$200.00	$175.22
92133 Imaging of optic nerve	46	46	$85.00	$37.37
67820 Removal of eyelashes using forceps	17	13	$122.65	$21.82
92083 Exam of visual field with extended testing	16	16	$150.00	$65.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$150.00	$117.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	565	498	$140.00	$127.55
92012 Established patient problem focused exam of visual system	534	366	$100.00	$90.63
92134 Imaging of retina	299	261	$85.00	$40.17
92133 Imaging of optic nerve	162	130	$85.00	$36.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$200.00	$169.41
92083 Exam of visual field with extended testing	60	56	$150.00	$62.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$150.00	$114.19
67820 Removal of eyelashes using forceps	25	13	$116.80	$26.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	584	501	$140.10	$130.36
92012 Established patient problem focused exam of visual system	494	361	$100.00	$92.09
92134 Imaging of retina	329	288	$85.00	$41.61
92133 Imaging of optic nerve	154	134	$85.00	$37.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$200.00	$170.66
92083 Exam of visual field with extended testing	83	82	$150.00	$64.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$150.00	$115.37
68761 Closure of tear duct opening using plug	13	12	$534.62	$223.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	767	669	$140.00	$131.54
92012 Established patient problem focused exam of visual system	563	404	$100.00	$93.24
92134 Imaging of retina	441	392	$85.00	$42.38
92133 Imaging of optic nerve	204	178	$85.00	$38.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$196.17	$174.09
92083 Exam of visual field with extended testing	71	66	$150.00	$65.92
92136 Measurement of corneal curvature and depth of eye	57	23	$120.00	$31.25
66821 Removal of recurring cataract in lens capsule using a laser	46	39	$600.00	$348.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$150.00	$114.45
92202 Extended exam of the back part of the eye with optic nerve drawing	24	24	$75.00	$16.50
67820 Removal of eyelashes using forceps	23	19	$129.57	$23.28
92071 Fitting of contact lens for treatment of eye surface disease	18	15	$60.00	$40.52
68761 Closure of tear duct opening using plug	13	12	$533.08	$228.95
92201 Extended exam of the back part of the eye with retinal drawing	13	12	$85.00	$24.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	785	688	$140.09	$129.57
92012 Established patient problem focused exam of visual system	677	428	$100.07	$90.58
92134 Imaging of retina	459	411	$84.98	$41.01
92133 Imaging of optic nerve	164	146	$85.00	$37.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	164	164	$175.00	$169.66
92083 Exam of visual field with extended testing	149	138	$150.00	$63.96
92136 Measurement of corneal curvature and depth of eye	133	46	$120.00	$33.41
66821 Removal of recurring cataract in lens capsule using a laser	65	55	$606.15	$340.47
92202 Extended exam of the back part of the eye with optic nerve drawing	56	56	$75.00	$16.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$150.00	$109.25
66984 Removal of cataract with insertion of lens	33	26	$1090.91	$548.46
66982 Complex removal of cataract with insertion of prosthetic lens	31	23	$1283.87	$767.75
67820 Removal of eyelashes using forceps	25	21	$151.80	$30.82
83516 Analysis of substance using immunoassay technique	24	11	$50.00	$11.53
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$75.00	$28.64
92071 Fitting of contact lens for treatment of eye surface disease	20	13	$63.00	$43.92
68761 Closure of tear duct opening using plug	20	18	$463.50	$208.21
65778 Insertion of amniotic membrane to eye surface	19	12	$1600.00	$1459.54
76514 Ultrasound scan of cornea to determine thickness	13	13	$52.69	$11.77
92250 Photography of the retina	11	11	$120.00	$41.63
92235 Exam of retinal blood vessels using a special camera after injection of a dye	11	11	$200.00	$107.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	966	809	$140.18	$128.19
92012 Established patient problem focused exam of visual system	912	527	$100.05	$89.77
92134 Imaging of retina	497	431	$85.00	$41.29
92136 Measurement of corneal curvature and depth of eye	274	97	$120.00	$35.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	235	235	$175.00	$165.32
92133 Imaging of optic nerve	190	168	$85.00	$36.77
92083 Exam of visual field with extended testing	151	148	$150.00	$64.72
66821 Removal of recurring cataract in lens capsule using a laser	122	111	$644.26	$346.04
66984 Removal of cataract with insertion of lens	99	71	$1060.61	$646.56
66982 Complex removal of cataract with insertion of prosthetic lens	94	70	$1255.32	$804.75
92226 Examination of eye by ophthalmoscope with retinal drawing	65	33	$75.00	$25.95
76519 Ultrasound of eye for determination of lens power	59	21	$120.00	$34.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$150.00	$109.86
92071 Fitting of contact lens for treatment of eye surface disease	40	25	$77.50	$46.77
68761 Closure of tear duct opening using plug	38	34	$518.68	$209.73
92225 Examination of eye by ophthalmoscope with retinal drawing	38	21	$85.00	$26.73
68760 Repair duct opening	38	19	$723.16	$243.66
67820 Removal of eyelashes using forceps	34	24	$152.21	$39.47
65778 Insertion of amniotic membrane to eye surface	22	14	$1609.09	$1439.88
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$75.00	$28.10
67800 Removal of eyelid growth	13	12	$150.00	$130.89
65855 Laser repair to improve eye fluid flow	12	11	$750.00	$283.59
92025 Ct scan of cornea	11	11	$75.00	$36.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	891	757	$140.00	$123.28
92012 Established patient problem focused exam of visual system	864	494	$100.00	$85.43
92134 Imaging of retina	301	274	$85.00	$40.41
92136 Measurement of corneal curvature and depth of eye	276	97	$126.09	$37.26
66821 Removal of recurring cataract in lens capsule using a laser	167	152	$650.30	$337.89
66982 Complex removal of cataract with insertion of prosthetic lens	163	102	$1223.93	$773.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	148	148	$175.00	$158.94
92133 Imaging of optic nerve	133	120	$85.00	$34.80
92083 Exam of visual field with extended testing	110	105	$150.45	$61.22
92226 Examination of eye by ophthalmoscope with retinal drawing	98	52	$75.00	$24.57
76519 Ultrasound of eye for determination of lens power	65	22	$126.46	$34.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$150.00	$105.70
92020 Examination of cornea and iris using lens device and slit lamp	33	33	$75.00	$26.31
92225 Examination of eye by ophthalmoscope with retinal drawing	24	13	$85.00	$26.64
68761 Closure of tear duct opening using plug	21	21	$560.00	$212.22
67820 Removal of eyelashes using forceps	21	20	$123.10	$40.79
66984 Removal of cataract with insertion of lens	19	18	$1000.00	$630.07
67800 Removal of eyelid growth	11	11	$150.00	$120.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	903	498	$100.00	$80.39
92014 Established patient complete exam of visual system	884	771	$140.04	$116.33
92134 Imaging of retina	240	218	$85.00	$38.04
76519 Ultrasound of eye for determination of lens power	179	68	$150.59	$38.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	175	175	$175.00	$154.96
92136 Measurement of corneal curvature and depth of eye	171	62	$150.00	$39.72
66821 Removal of recurring cataract in lens capsule using a laser	166	142	$627.71	$316.49
92083 Exam of visual field with extended testing	129	120	$153.10	$59.30
92133 Imaging of optic nerve	106	92	$85.00	$33.40
66984 Removal of cataract with insertion of lens	105	73	$1057.14	$584.65
66982 Complex removal of cataract with insertion of prosthetic lens	103	73	$1237.86	$736.62
92226 Examination of eye by ophthalmoscope with retinal drawing	90	48	$75.00	$21.47
92071 Fitting of contact lens for treatment of eye surface disease	63	37	$67.62	$39.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$150.00	$99.56
68761 Closure of tear duct opening using plug	40	38	$510.50	$205.51
92020 Examination of cornea and iris using lens device and slit lamp	33	33	$75.00	$23.90
92225 Examination of eye by ophthalmoscope with retinal drawing	26	13	$85.00	$25.48
68760 Repair duct opening	24	16	$600.42	$225.62
65855 Laser repair to improve eye fluid flow	23	20	$730.43	$266.99
67820 Removal of eyelashes using forceps	22	17	$141.14	$54.20
92250 Photography of the retina	15	15	$120.00	$62.23
92235 Exam of retinal blood vessels using a special camera after injection of a dye	13	13	$200.00	$60.43

Medical Specialties & State Licenses

CMS Verified: 2020-08-10

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX D5949

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

093788001 (TX)

Commercial Insurance / Payer ID Medical License

D5949 (TX)

Secondary Practice Locations

13300 Hargrave Rd Ste 100

Houston, TX 770704532

Phone: 2814693888

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Bruce January , MD

Ophthalmology

NPI 1154438927

Doctor of Medicine (M.D.)

Dr. Bernard Friedman , MD

Ophthalmology

NPI 1811981269

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2008

Registered at 5555 WEST LOOP SOUTH, SUITE 150, BELLAIRE, TX 77401 (Tel: 7136664224)

📍

Updated Business Mailing Address February 21, 2008

Registered at 5555 WEST LOOP SOUTH, SUITE 150, BELLAIRE, TX 77401 (Tel: 7136664224)

👤

Provider Name / Credentials Updated February 21, 2008

Recorded as WARREN CROSS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2008

Ophthalmology (License #D5949 in TX)

🟢

Initial NPI Registration & Enumeration July 27, 2006

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: 1437173663

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: August 10, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5555 West Loop South, Suite 150

Bellaire, TX 77401

Phone: 7136664224

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.