Active NPI 1487910691 Individual Practitioner Male Practitioner

Dr. Severin M Pouly , MD

Ophthalmology • Dallas, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Severin Pouly, MD is a certified Ophthalmology practicing in Dallas, TX. With approximately 14 years of clinical experience since graduating from Ohio State University College Of Medicine in 2012, Dr. Pouly delivers high-quality medical care to the local community at 5201 HARRY HINES BLVD.

Dr. Pouly is affiliated with Little Rock Eye Clinic Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5201 Harry Hines Blvd
Graduate Medical Education

Dallas, TX 752357708

Telephone 2145908058

Associated Practice Facility / Clinic

🏢 Ambulatory Care Clinic (Acc) Facility NPI 1316914666

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Dallas, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -9.1 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

172 Specialists

Practicing in Dallas, TX (1616 Statewide)

Telehealth Adoption Rate

1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pouly (14 Years) 14 Yrs

Dallas Specialty Average (23.1 Years) 23.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	535	416	$209.74	$80.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	371	283	$333.13	$113.28
92014 Established patient complete exam of visual system	327	322	$323.18	$111.52
92136 Measurement of corneal curvature and depth of eye	266	204	$139.61	$40.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	235	235	$431.80	$149.58
66984 Removal of cataract with insertion of lens	204	127	$2002.64	$407.25
92133 Imaging of optic nerve	80	78	$84.48	$31.50
66984 Removal of cataract with insertion of lens	68	45	$2002.44	$431.53
65400 Removal of growth of cornea	52	43	$1604.15	$591.02
92004 New patient complete exam of visual system	49	49	$383.53	$128.75
92025 Ct scan of cornea	44	42	$83.08	$31.37
92083 Exam of visual field with extended testing	42	37	$141.95	$54.24
65756 Transplantation of outer layer of corneal tissue	31	31	$3134.97	$984.54
92012 Established patient problem focused exam of visual system	29	29	$203.80	$78.99
66821 Removal of recurring cataract in lens capsule using a laser	28	27	$857.93	$324.74
92134 Imaging of retina	28	26	$93.28	$35.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$289.68	$99.79
92071 Fitting of contact lens for treatment of eye surface disease	20	15	$60.00	$32.88
92286 Imaging of front third of eye using a special microscope	14	14	$210.64	$34.53
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$2787.30	$552.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	583	449	$209.83	$80.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	510	375	$333.13	$113.78
92014 Established patient complete exam of visual system	286	279	$323.18	$112.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	252	252	$433.00	$147.34
92136 Measurement of corneal curvature and depth of eye	247	186	$143.10	$41.37
66984 Removal of cataract with insertion of lens	174	125	$2002.44	$452.30
92133 Imaging of optic nerve	92	88	$84.48	$32.45
92004 New patient complete exam of visual system	75	75	$383.53	$132.32
92025 Ct scan of cornea	54	50	$83.08	$31.68
65400 Removal of growth of cornea	50	44	$1604.15	$604.15
92083 Exam of visual field with extended testing	42	40	$141.95	$53.47
92134 Imaging of retina	36	34	$93.28	$35.75
66984 Removal of cataract with insertion of lens	35	27	$2003.01	$431.81
92012 Established patient problem focused exam of visual system	35	34	$203.80	$78.40
92071 Fitting of contact lens for treatment of eye surface disease	34	22	$82.24	$32.01
66982 Complex removal of cataract with insertion of prosthetic lens	31	25	$2787.30	$605.65
65756 Transplantation of outer layer of corneal tissue	27	27	$3134.97	$1052.00
66821 Removal of recurring cataract in lens capsule using a laser	21	21	$939.64	$296.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$289.68	$100.78
92286 Imaging of front third of eye using a special microscope	15	15	$210.64	$34.79
65778 Insertion of amniotic membrane to eye surface	14	12	$3900.00	$1134.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	705	471	$200.66	$82.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	659	439	$325.35	$116.27
92136 Measurement of corneal curvature and depth of eye	275	206	$137.00	$41.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	274	274	$424.91	$151.61
92014 Established patient complete exam of visual system	227	220	$316.73	$113.77
66984 Removal of cataract with insertion of lens	135	96	$2002.44	$440.64
92133 Imaging of optic nerve	115	103	$87.67	$32.81
92004 New patient complete exam of visual system	102	102	$362.44	$135.72
66984 Removal of cataract with insertion of lens	91	67	$2002.44	$467.46
92025 Ct scan of cornea	64	57	$87.26	$32.02
92083 Exam of visual field with extended testing	58	57	$142.19	$55.03
92012 Established patient problem focused exam of visual system	57	52	$198.53	$80.48
92134 Imaging of retina	44	41	$94.73	$36.32
92071 Fitting of contact lens for treatment of eye surface disease	43	30	$103.02	$32.49
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	37	33	$1064.37	$267.20
65778 Insertion of amniotic membrane to eye surface	31	26	$3900.00	$1191.62
65756 Transplantation of outer layer of corneal tissue	28	28	$3134.97	$1054.89
65756 Transplantation of outer layer of corneal tissue	25	24	$3134.97	$1056.16
66821 Removal of recurring cataract in lens capsule using a laser	25	24	$909.19	$292.91
92286 Imaging of front third of eye using a special microscope	22	22	$210.64	$33.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$289.68	$98.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$121.48	$50.99
66982 Complex removal of cataract with insertion of prosthetic lens	13	12	$2787.30	$562.93
65400 Removal of growth of cornea	12	11	$1604.15	$609.05
65426 Removal or relocation of corneal conjunctiva with graft	11	11	$1747.13	$424.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	920	549	$126.96	$83.52
92014 Established patient complete exam of visual system	329	314	$210.48	$114.45
92136 Measurement of corneal curvature and depth of eye	233	170	$119.30	$42.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	198	$194.50	$118.90
66984 Removal of cataract with insertion of lens	205	141	$2012.21	$476.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$294.38	$154.20
92004 New patient complete exam of visual system	163	163	$256.98	$138.20
92012 Established patient problem focused exam of visual system	156	130	$143.68	$81.52
92133 Imaging of optic nerve	95	91	$125.22	$33.45
92025 Ct scan of cornea	71	67	$60.00	$32.98
65756 Transplantation of outer layer of corneal tissue	52	47	$3134.97	$1063.02
65778 Insertion of amniotic membrane to eye surface	47	42	$3900.00	$1270.19
92134 Imaging of retina	41	40	$125.22	$36.72
92083 Exam of visual field with extended testing	33	32	$145.40	$55.56
76514 Ultrasound scan of cornea to determine thickness	31	31	$50.00	$10.11
92286 Imaging of front third of eye using a special microscope	28	28	$210.64	$35.13
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	24	23	$1064.37	$266.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$189.00	$102.89
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$919.00	$334.33
92071 Fitting of contact lens for treatment of eye surface disease	17	13	$104.00	$33.05
65400 Removal of growth of cornea	17	14	$1604.15	$629.58
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$2787.30	$656.55
68761 Closure of tear duct opening using plug	13	12	$461.80	$151.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	901	533	$143.68	$80.99
92004 New patient complete exam of visual system	269	269	$256.98	$139.23
92014 Established patient complete exam of visual system	237	226	$210.48	$115.13
92136 Measurement of corneal curvature and depth of eye	182	142	$125.48	$50.59
66984 Removal of cataract with insertion of lens	149	109	$2002.44	$471.65
92025 Ct scan of cornea	64	62	$60.00	$33.69
65756 Transplantation of outer layer of corneal tissue	53	45	$3134.97	$1090.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	42	$75.18	$41.48
92286 Imaging of front third of eye using a special microscope	33	33	$210.64	$35.02
66982 Complex removal of cataract with insertion of prosthetic lens	29	26	$2787.30	$675.51
65400 Removal of growth of cornea	28	24	$1604.15	$631.09
92133 Imaging of optic nerve	28	28	$125.22	$34.23
76514 Ultrasound scan of cornea to determine thickness	26	26	$50.00	$10.59
92134 Imaging of retina	23	21	$125.22	$36.60
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	21	19	$1064.37	$266.22
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$126.96	$60.77
92002 New patient problem focused exam of visual system	19	19	$136.66	$76.29
65430 Scraping of cornea for diagnosis	18	18	$300.00	$103.40
92083 Exam of visual field with extended testing	18	17	$145.40	$57.31
92071 Fitting of contact lens for treatment of eye surface disease	15	12	$104.00	$35.51
68761 Closure of tear duct opening using plug	15	13	$525.29	$158.33
65426 Removal or relocation of corneal conjunctiva with graft	14	13	$1277.04	$442.33
65778 Insertion of amniotic membrane to eye surface	13	12	$3900.00	$1233.80
92285 Photography of content of eyes	12	12	$85.00	$19.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,161	602	$143.68	$79.70
92004 New patient complete exam of visual system	287	287	$256.98	$138.89
92014 Established patient complete exam of visual system	248	225	$210.48	$115.34
92136 Measurement of corneal curvature and depth of eye	157	119	$144.28	$62.07
66984 Removal of cataract with insertion of lens	124	88	$2002.44	$574.25
92286 Imaging of front third of eye using a special microscope	63	63	$210.64	$34.67
65756 Transplantation of outer layer of corneal tissue	53	50	$3134.97	$1080.95
92025 Ct scan of cornea	53	52	$60.00	$33.12
76514 Ultrasound scan of cornea to determine thickness	52	52	$50.00	$10.64
65778 Insertion of amniotic membrane to eye surface	37	32	$3900.00	$1217.87
65400 Removal of growth of cornea	34	28	$1604.15	$617.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	25	$75.18	$41.06
92133 Imaging of optic nerve	32	31	$125.22	$34.13
92134 Imaging of retina	23	23	$125.22	$37.42
92071 Fitting of contact lens for treatment of eye surface disease	23	20	$104.00	$34.55
92002 New patient problem focused exam of visual system	22	22	$136.66	$77.14
65430 Scraping of cornea for diagnosis	21	21	$300.00	$108.19
67820 Removal of eyelashes using forceps	20	13	$135.57	$30.02
68761 Closure of tear duct opening using plug	19	19	$493.70	$145.75
92083 Exam of visual field with extended testing	19	17	$145.40	$58.13
92285 Photography of content of eyes	17	16	$85.00	$18.93
66821 Removal of recurring cataract in lens capsule using a laser	16	14	$883.45	$314.13
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$126.96	$68.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,018	458	$143.68	$78.53
92004 New patient complete exam of visual system	213	213	$256.98	$135.35
92014 Established patient complete exam of visual system	206	197	$210.48	$114.36
92136 Measurement of corneal curvature and depth of eye	119	88	$145.98	$69.67
66984 Removal of cataract with insertion of lens	98	68	$2002.44	$578.88
92025 Ct scan of cornea	91	88	$60.00	$33.74
76514 Ultrasound scan of cornea to determine thickness	87	79	$50.00	$13.34
92286 Imaging of front third of eye using a special microscope	47	46	$210.64	$33.82
65756 Transplantation of outer layer of corneal tissue	42	41	$3134.97	$1078.87
65400 Removal of growth of cornea	33	28	$1604.15	$617.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$75.18	$39.03
65778 Insertion of amniotic membrane to eye surface	30	29	$3900.00	$1226.65
68761 Closure of tear duct opening using plug	23	22	$489.40	$151.55
67820 Removal of eyelashes using forceps	23	15	$141.46	$37.06
65430 Scraping of cornea for diagnosis	22	21	$300.00	$103.45
92133 Imaging of optic nerve	22	22	$125.22	$34.14
92285 Photography of content of eyes	21	19	$85.00	$17.83
92071 Fitting of contact lens for treatment of eye surface disease	18	15	$104.00	$35.04
66982 Complex removal of cataract with insertion of prosthetic lens	16	14	$2787.30	$684.53
92134 Imaging of retina	15	14	$125.22	$36.68
65426 Removal or relocation of corneal conjunctiva with graft	11	11	$1277.04	$438.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	224	116	$141.61	$76.45
92004 New patient complete exam of visual system	46	46	$256.98	$134.93
92014 Established patient complete exam of visual system	34	33	$210.48	$109.79
92025 Ct scan of cornea	24	23	$60.00	$33.90
68761 Closure of tear duct opening using plug	16	15	$562.82	$162.81
76514 Ultrasound scan of cornea to determine thickness	16	16	$50.00	$13.15
92002 New patient problem focused exam of visual system	13	13	$136.66	$69.88

Medical Specialties & State Licenses

CMS Verified: 2023-02-28

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License UT 9683468-1205

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.

Ophthalmology - Cornea and External Diseases Specialist

NUCC Taxonomy Code: 207WX0120X

State License AR E10293

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Little Rock Eye Clinic Llp

201 Executive Ct, Little Rock, AR 722054536

Phone: 5012245658

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Emergency Medicine

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Doctor of Medicine (M.D.)

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Obstetrics & Gynecology - Maternal & Fetal Medicine

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Doctor of Medicine (M.D.)

Dr. Lynn Nguyen , MD

Student in an Organized Health Care Education/Training Program

NPI 1003025131

Doctor of Medicine (M.D.)

Dr. Jan Petrasek , MD, PhD

Internal Medicine - Gastroenterology

NPI 1003251497

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Orkun Muftuoglu , MD

Student in an Organized Health Care Education/Training Program

NPI 1013165984

Doctor of Medicine (M.D.)

Dr. Samuel Mcdonald , MD

Emergency Medicine

NPI 1013352186

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Ophthalmology (License #E10293 in AR)

✅

NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2016

Registered at 5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 752357708 (Tel: 2145908058)

📍

Updated Business Mailing Address March 28, 2016

Registered at PO BOX 660599, DALLAS, TX 752660599 (Tel: 2145908058)

👤

Provider Name / Credentials Updated March 28, 2016

Recorded as SEVERIN POULY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Ophthalmology (License #9683468-1205 in UT)

🟢

Initial NPI Registration & Enumeration April 02, 2012

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: 1487910691

Entity Type:

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

Enumeration Date: April 02, 2012

Last Update: February 28, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 660599

Dallas, TX 752660599

Phone: 2145908058

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.