Active NPI 1578709762 Individual Practitioner Male Practitioner

Dr. Paul G. Middleton , OD

Optometrist • Denton, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Middleton, OD is a certified Optometrist practicing in Denton, TX. With approximately 30 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1996, Dr. Middleton delivers high-quality medical care to the local community at 2210 SAN JACINTO BLVD.

Dr. Middleton is affiliated with Aeg Texas Professional Pllc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

2210 San Jacinto Blvd

Denton, TX 762057527

Telephone 9403828000

Fax 9403832608

Associated Practice Facility / Clinic

🏢 Thomas A. Cadenhead, Md, Pa Facility NPI 1790933851

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Denton, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

30 Specialists

Practicing in Denton, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Middleton (30 Years) 30 Yrs

Denton Specialty Average (17.5 Years) 17.5 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	22	18	$120.00	$86.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$90.00	$53.80
92014 Established patient complete exam of visual system	12	12	$165.00	$118.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$120.00	$89.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$90.00	$55.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$90.59	$55.41
92014 Established patient complete exam of visual system	15	15	$167.00	$127.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	166	$120.00	$89.71
92014 Established patient complete exam of visual system	80	80	$206.19	$125.73
92004 New patient complete exam of visual system	25	25	$225.20	$149.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$225.00	$110.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	267	$120.00	$73.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$225.00	$105.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	352	273	$120.00	$72.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$225.00	$105.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	323	265	$108.26	$69.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$126.82	$103.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	340	294	$72.54	$67.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$110.71	$98.36

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 05259T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Optometry Board

05259T (TX)

Hospital & Practice Group Affiliations

Aeg Texas Professional Pllc

3111 Unicorn Lake Blvd, Denton, TX 762100118

Phone: 9408913937

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Rodgers Eckhart , MD

Ophthalmology

NPI 1063612638

Doctor of Medicine (M.D.)

Dr. Lawrence Shafron , MD

Ophthalmology

NPI 1831295153

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 January 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2012

Registered at 2210 SAN JACINTO BLVD, DENTON, TX 762057527 (Tel: 9403828000)

📍

Updated Business Mailing Address January 20, 2012

Registered at 2210 SAN JACINTO BLVD, SUITE 1, DENTON, TX 762057527 (Tel: 9403828000)

👤

Provider Name / Credentials Updated January 20, 2012

Recorded as PAUL MIDDLETON, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2012

Optometrist (License #05259T in TX)

🟢

Initial NPI Registration & Enumeration December 18, 2008

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: 1578709762

Entity Type:

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

Enumeration Date: December 18, 2008

Last Update: January 20, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2210 San Jacinto Blvd, Suite 1

Denton, TX 762057527

Phone: 9403828000

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.