Active NPI 1245391754 Individual Practitioner Male Practitioner

Dr. Samuel Humberto Favela , OD

Optometrist • El Paso, TX

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Favela, OD is a certified Optometrist practicing in El Paso, TX. With approximately 35 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1991, Dr. Favela delivers high-quality medical care to the local community at 4532 N MESA ST STE 2A.

Dr. Favela maintains professional affiliations with Visione 360 Pa, Centro De Salud Familiar La Fe, Inc. and does not directly accept Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

4532 N Mesa St Ste 2a

El Paso, TX 799126287

Telephone 9155440326

Fax 9155442897

Associated Practice Facility / Clinic

🏢 El Paso Integrated Physicians Group Facility NPI 1598775348

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1991

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in El Paso, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +18.0 yrs vs City Avg

City Avg: 17.0 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

86 Specialists

Practicing in El Paso, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Favela (35 Years) 35 Yrs

El Paso Specialty Average (17.0 Years) 17.0 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
92014 Established patient complete exam of visual system	93	90	$188.33	$119.28
92012 Established patient problem focused exam of visual system	91	59	$132.93	$84.19
92083 Exam of visual field with extended testing	17	17	$102.59	$59.82
92004 New patient complete exam of visual system	14	14	$214.29	$141.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	109	77	$137.02	$84.03
92014 Established patient complete exam of visual system	67	66	$194.43	$118.66
92004 New patient complete exam of visual system	23	23	$222.83	$141.62
92083 Exam of visual field with extended testing	22	21	$104.00	$58.37
92133 Imaging of optic nerve	14	14	$107.14	$31.93
92134 Imaging of retina	14	14	$97.50	$36.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	108	76	$134.78	$86.39
92014 Established patient complete exam of visual system	58	57	$182.31	$123.19
92004 New patient complete exam of visual system	37	37	$217.70	$144.48
92083 Exam of visual field with extended testing	17	16	$105.18	$60.75
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$105.00	$87.81
92250 Photography of the retina	15	15	$142.47	$35.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	83	52	$152.75	$88.00
92014 Established patient complete exam of visual system	30	30	$192.20	$125.01
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$123.17	$89.44
92004 New patient complete exam of visual system	26	26	$238.27	$148.76
92083 Exam of visual field with extended testing	12	11	$105.50	$59.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	87	$139.29	$73.54
92250 Photography of the retina	33	31	$140.09	$43.03
92012 Established patient problem focused exam of visual system	20	11	$92.50	$86.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$205.61	$105.60
92083 Exam of visual field with extended testing	18	15	$111.00	$61.87
92004 New patient complete exam of visual system	17	17	$159.41	$148.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	100	$139.99	$70.97
92250 Photography of the retina	36	36	$144.92	$47.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$208.00	$104.28
65778 Insertion of amniotic membrane to eye surface	20	13	$2380.00	$1336.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$81.73	$42.22
92012 Established patient problem focused exam of visual system	13	13	$112.46	$84.68
92083 Exam of visual field with extended testing	11	11	$116.00	$61.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	120	$139.95	$67.53
92250 Photography of the retina	42	41	$149.00	$50.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$207.95	$100.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$84.00	$40.85
92083 Exam of visual field with extended testing	19	18	$122.00	$59.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	105	$139.99	$69.73
92250 Photography of the retina	60	58	$149.00	$61.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$207.95	$103.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$208.00	$101.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$84.00	$41.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$318.00	$157.62
92083 Exam of visual field with extended testing	13	12	$122.00	$54.85

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 4576-TG

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

Medicaid State Provider ID

127221306 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

80300Q (TX)

Hospital & Practice Group Affiliations

Visione 360 Pa

1387 George Dieter Dr, El Paso, TX 799367410

Phone: 9155323937

Visione 360 Pa

400 Executive Ctr Blvd, El Paso, TX 799021004

Phone: 9155323937

Centro De Salud Familiar La Fe, Inc.

700 S Ochoa St, El Paso, TX 799012936

Phone: 9155454550

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Franchesca Cruz Perez , MD

Internal Medicine - Rheumatology

NPI 1104258391

Doctor of Medicine (M.D.)

Alexandra Olivas , APRN, FNP-C

Nurse Practitioner - Family

NPI 1104426642

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Claudia Flores-Lopez , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1154826733

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Robert Moreno , MD

Internal Medicine

NPI 1174518823

Doctor of Medicine (M.D.)

Dr. Brian August , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1184618597

Doctor of Medicine (M.D.)

Dr. Luis Salayandia , MD

Internal Medicine - Rheumatology

NPI 1225320278

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location August 07, 2019

Registered at 4532 N MESA ST STE 2A, EL PASO, TX 799126287 (Tel: 9155440326)

✅

NPI Profile Active January 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2017

Registered at 4532 N MESA ST, 2ND FLOOR, EL PASO, TX 799126102 (Tel: 9155440326)

📍

Updated Business Mailing Address January 20, 2017

Registered at PO BOX 3157, EL PASO, TX 799233157 (Tel: 9155770051)

👤

Provider Name / Credentials Updated January 20, 2017

Recorded as SAMUEL FAVELA, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2017

Optometrist (License #4576-TG in TX)

✅

NPI Profile Active November 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2015

Registered at 4532 N MESA ST, 2ND FLOOR, EL PASO, TX 799126102 (Tel: 9155440326)

📍

Updated Business Mailing Address November 03, 2015

Registered at PO BOX 3157, EL PASO, TX 799233157 (Tel: 9155770051)

👤

Provider Name / Credentials Updated November 03, 2015

Recorded as SAMUEL FAVELA, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2015

Optometrist (License #4576-TG in TX)

🟢

Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245391754

Entity Type:

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

Enumeration Date: December 12, 2006

Last Update: August 07, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3157

El Paso, TX 799233157

Phone: 9155770051

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.