Active NPI 1336182310 Individual Practitioner Male Practitioner

Dr. Neil Michael Bealka , MD

Ophthalmology • Gatesville, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Neil Bealka, MD is a certified Ophthalmology practicing in Gatesville, TX. With approximately 43 years of clinical experience since graduating from University Of Minnesota Medical School in 1983, Dr. Bealka delivers high-quality medical care to the local community at 2406 S BUSINESS HWY 36.

Dr. Bealka is affiliated with Neil M Bealka Jr Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, established patient problem focused 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

2406 S Business Hwy 36

Gatesville, TX 76528

Telephone 2548654267

Fax 2548658293

Associated Practice Facility / Clinic

🏢 Neil M. Bealka Jr.,m.d. Pa Facility NPI 1144419672

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Gatesville, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +18.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Gatesville, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bealka (43 Years) 43 Yrs

Gatesville Specialty Average (24.5 Years) 24.5 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
92250 Photography of the retina	266	238	$75.00	$35.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	170	$185.00	$126.23
92012 Established patient problem focused exam of visual system	112	76	$150.00	$87.38
92014 Established patient complete exam of visual system	78	78	$175.00	$122.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$275.00	$164.61
92083 Exam of visual field with extended testing	55	52	$150.00	$61.77
92004 New patient complete exam of visual system	40	40	$250.00	$146.15
92136 Measurement of corneal curvature and depth of eye	39	35	$150.00	$40.88
66984 Removal of cataract with insertion of lens	37	29	$3100.00	$530.75
66821 Removal of recurring cataract in lens capsule using a laser	26	24	$1100.00	$304.73
92133 Imaging of optic nerve	20	20	$50.00	$35.46
92134 Imaging of retina	14	14	$50.00	$39.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	287	245	$75.00	$35.81
92014 Established patient complete exam of visual system	184	184	$157.88	$123.11
92012 Established patient problem focused exam of visual system	129	92	$134.19	$87.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	92	$180.25	$123.14
92083 Exam of visual field with extended testing	72	69	$133.33	$60.17
92004 New patient complete exam of visual system	57	57	$242.98	$146.00
92133 Imaging of optic nerve	39	38	$50.00	$35.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$275.00	$162.31
66984 Removal of cataract with insertion of lens	37	29	$3100.00	$519.56
92136 Measurement of corneal curvature and depth of eye	35	29	$147.14	$39.38
66821 Removal of recurring cataract in lens capsule using a laser	24	21	$1100.00	$300.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	205	205	$149.90	$124.15
92012 Established patient problem focused exam of visual system	153	119	$129.61	$87.52
92004 New patient complete exam of visual system	123	123	$199.19	$147.21
92250 Photography of the retina	117	116	$77.78	$36.19
66984 Removal of cataract with insertion of lens	46	36	$3078.26	$523.54
92136 Measurement of corneal curvature and depth of eye	40	35	$144.63	$42.11
92083 Exam of visual field with extended testing	37	34	$145.95	$61.16
66821 Removal of recurring cataract in lens capsule using a laser	22	21	$1095.45	$301.02
92133 Imaging of optic nerve	22	21	$79.09	$36.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	221	221	$130.00	$125.28
92012 Established patient problem focused exam of visual system	181	124	$100.00	$88.98
92004 New patient complete exam of visual system	110	110	$180.00	$149.61
92250 Photography of the retina	101	101	$90.00	$38.80
92133 Imaging of optic nerve	45	44	$90.00	$36.80
92136 Measurement of corneal curvature and depth of eye	42	42	$160.00	$54.19
66984 Removal of cataract with insertion of lens	41	35	$3100.00	$535.28
92083 Exam of visual field with extended testing	39	39	$238.46	$62.60
66821 Removal of recurring cataract in lens capsule using a laser	31	27	$1100.00	$304.21
92134 Imaging of retina	31	27	$90.00	$40.50
76514 Ultrasound scan of cornea to determine thickness	11	11	$35.00	$11.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	301	299	$130.00	$124.23
92012 Established patient problem focused exam of visual system	235	168	$100.00	$87.21
92250 Photography of the retina	154	149	$90.00	$44.20
92004 New patient complete exam of visual system	137	137	$180.00	$146.75
66984 Removal of cataract with insertion of lens	80	68	$3100.00	$534.47
92083 Exam of visual field with extended testing	58	57	$175.00	$62.00
76519 Ultrasound of eye for determination of lens power	43	43	$160.00	$64.18
66821 Removal of recurring cataract in lens capsule using a laser	38	33	$1100.00	$303.54
92133 Imaging of optic nerve	32	32	$90.00	$36.62
92136 Measurement of corneal curvature and depth of eye	26	26	$160.00	$61.78
76513 Ultrasound scan of eye using water bath method	21	12	$119.52	$89.11
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	17	17	$50.00	$14.28
99443 Telephone medical discussion with physician, 21-30 minutes	17	17	$75.00	$74.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	461	460	$137.59	$123.41
92012 Established patient problem focused exam of visual system	384	271	$103.02	$85.51
92004 New patient complete exam of visual system	262	262	$185.37	$147.55
92250 Photography of the retina	216	211	$90.00	$48.82
66984 Removal of cataract with insertion of lens	161	126	$3052.80	$615.16
76519 Ultrasound of eye for determination of lens power	106	105	$159.06	$63.59
92083 Exam of visual field with extended testing	59	59	$175.00	$62.14
92133 Imaging of optic nerve	45	45	$89.33	$36.19
66821 Removal of recurring cataract in lens capsule using a laser	44	40	$1100.00	$296.15
76513 Ultrasound scan of eye using water bath method	26	17	$147.12	$91.13
76514 Ultrasound scan of cornea to determine thickness	13	13	$35.00	$12.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	551	543	$145.69	$121.43
92012 Established patient problem focused exam of visual system	457	313	$108.14	$84.22
92004 New patient complete exam of visual system	237	237	$192.42	$143.71
92250 Photography of the retina	200	196	$90.00	$54.13
66984 Removal of cataract with insertion of lens	182	138	$2692.86	$603.73
76519 Ultrasound of eye for determination of lens power	111	99	$151.57	$65.88
66821 Removal of recurring cataract in lens capsule using a laser	64	57	$1100.00	$296.38
92083 Exam of visual field with extended testing	45	44	$170.56	$60.62
92133 Imaging of optic nerve	21	21	$88.57	$36.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	641	628	$146.55	$117.68
92012 Established patient problem focused exam of visual system	509	347	$109.80	$81.44
92004 New patient complete exam of visual system	290	290	$195.23	$142.57
92250 Photography of the retina	244	242	$90.00	$61.99
66984 Removal of cataract with insertion of lens	224	171	$2633.48	$605.88
76519 Ultrasound of eye for determination of lens power	156	137	$143.21	$71.56
92083 Exam of visual field with extended testing	78	74	$173.97	$60.66
66821 Removal of recurring cataract in lens capsule using a laser	59	58	$1100.00	$290.43
92133 Imaging of optic nerve	42	42	$90.00	$35.73
76513 Ultrasound scan of eye using water bath method	39	23	$138.46	$85.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$133.95	$102.79
92002 New patient problem focused exam of visual system	23	23	$127.39	$77.65
76514 Ultrasound scan of cornea to determine thickness	16	16	$35.00	$13.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$211.00	$157.06

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX J3044

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

133678606 (TX)

Medicaid State Provider ID

133678608 (TX)

Medicaid State Provider ID

141555601 (TX)

Commercial Insurance / Payer ID Blue Cross

8246M0 (TX)

Hospital & Practice Group Affiliations

Neil M Bealka Jr Md Pa

104 Burnett Court, Woodway, TX 767123100

Phone: 2548654267

Neil M Bealka Jr Md Pa

2406 S Business Hwy 36, Gatesville, TX 76528

Phone: 2548654267

Neil M Bealka Jr Md Pa

2406 S Business Hwy 36, Gatesville, TX 765282518

Neil M Bealka Jr Md Pa

1400 E Franklin St, Hillsboro, TX 766452676

Phone: 2545820282

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Peter Bealka , MD

Ophthalmology

NPI 1790133775

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 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2013

Registered at 2406 S BUSINESS HWY 36, GATESVILLE, TX 76528 (Tel: 2548654267)

📍

Updated Business Mailing Address January 07, 2013

Registered at 2406 S BUSINESS HWY 36, GATESVILLE, TX 76528 (Tel: 2548654267)

👤

Provider Name / Credentials Updated January 07, 2013

Recorded as NEIL BEALKA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2013

Ophthalmology (License #J3044 in TX)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1336182310

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: January 07, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2406 S Business Hwy 36

Gatesville, TX 76528

Phone: 2548654267

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.