Active NPI 1093971079 Individual Practitioner Female Practitioner

Dr. Sumitra S Khandelwal , MD

Ophthalmology • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sumitra Khandelwal, MD is a certified Ophthalmology practicing in Houston, TX. With approximately 18 years of clinical experience since graduating from University Of Texas Medical School At Houston in 2008, Dr. Khandelwal delivers high-quality medical care to the local community at 1977 BUTLER BLVD.

Dr. Khandelwal is affiliated with Baylor College Of Medicine and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of cataract with insertion of lens, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1977 Butler Blvd

Houston, TX 770304101

Telephone 4048629626

Associated Practice Facility / Clinic

🏢 Baylor College Of Medicine Facility NPI 1730114125

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Houston, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -6.9 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

276 Specialists

Practicing in Houston, TX (1616 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khandelwal (18 Years) 18 Yrs

Houston Specialty Average (24.9 Years) 24.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	141	$355.00	$130.16
66984 Removal of cataract with insertion of lens	59	41	$2701.00	$531.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$465.00	$171.95
76519 Ultrasound of eye for determination of lens power	52	31	$136.00	$50.02
92025 Ct scan of cornea	52	50	$100.00	$35.84
92136 Measurement of corneal curvature and depth of eye	48	30	$101.83	$35.09
92134 Imaging of retina	32	30	$111.00	$36.98
92014 Established patient complete exam of visual system	30	28	$344.00	$127.12
66821 Removal of recurring cataract in lens capsule using a laser	24	23	$1746.83	$341.79
66982 Complex removal of cataract with insertion of prosthetic lens	15	12	$3702.00	$717.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	176	$354.00	$130.53
76519 Ultrasound of eye for determination of lens power	79	47	$130.39	$48.24
92025 Ct scan of cornea	75	69	$75.00	$34.88
66984 Removal of cataract with insertion of lens	74	50	$2707.00	$540.85
92136 Measurement of corneal curvature and depth of eye	53	32	$107.02	$36.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$461.00	$168.45
92134 Imaging of retina	46	44	$112.00	$38.17
92014 Established patient complete exam of visual system	42	42	$348.00	$129.25
66821 Removal of recurring cataract in lens capsule using a laser	26	26	$1940.29	$396.39
68841 Insertion of drug delivery implant into tear duct of eye	21	15	$163.00	$16.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	192	$356.00	$132.72
92025 Ct scan of cornea	120	114	$75.00	$37.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$464.00	$174.12
66984 Removal of cataract with insertion of lens	90	58	$2713.00	$545.03
92136 Measurement of corneal curvature and depth of eye	88	45	$110.13	$38.73
76519 Ultrasound of eye for determination of lens power	77	46	$129.00	$48.16
68841 Insertion of drug delivery implant into tear duct of eye	63	37	$162.00	$16.28
92014 Established patient complete exam of visual system	54	54	$353.00	$132.28
92134 Imaging of retina	48	46	$114.00	$40.31
66821 Removal of recurring cataract in lens capsule using a laser	35	33	$1946.31	$402.51
92012 Established patient problem focused exam of visual system	25	23	$249.00	$93.40
92004 New patient complete exam of visual system	19	19	$418.00	$156.25
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$3716.00	$714.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	135	$349.00	$135.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$451.00	$175.72
92025 Ct scan of cornea	92	88	$75.00	$37.80
92014 Established patient complete exam of visual system	71	68	$339.00	$131.98
66984 Removal of cataract with insertion of lens	70	45	$2607.00	$559.09
92136 Measurement of corneal curvature and depth of eye	57	30	$110.79	$43.95
92012 Established patient problem focused exam of visual system	52	45	$240.00	$94.56
0356T Insertion of drug delivery implant into tear ducts	51	35	$284.00	$108.09
76519 Ultrasound of eye for determination of lens power	47	37	$148.77	$58.53
92134 Imaging of retina	47	46	$110.00	$41.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	18	$63.00	$23.99
66821 Removal of recurring cataract in lens capsule using a laser	19	18	$1724.65	$374.85
92285 Photography of content of eyes	15	13	$66.40	$24.21
92004 New patient complete exam of visual system	14	14	$402.00	$158.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$153.00	$58.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	169	84	$253.00	$92.76
92014 Established patient complete exam of visual system	117	115	$360.00	$130.57
92025 Ct scan of cornea	70	68	$75.00	$37.84
92136 Measurement of corneal curvature and depth of eye	46	22	$126.76	$45.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$468.00	$169.94
66984 Removal of cataract with insertion of lens	30	23	$2842.00	$541.63
92134 Imaging of retina	29	25	$115.52	$39.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	27	$66.00	$24.33
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$1993.26	$403.52
0356T Insertion of drug delivery implant into tear ducts	18	15	$284.00	$104.39
76519 Ultrasound of eye for determination of lens power	13	13	$175.46	$64.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	338	192	$251.00	$90.20
92014 Established patient complete exam of visual system	144	136	$359.00	$129.01
92025 Ct scan of cornea	118	111	$75.00	$38.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$465.00	$167.87
66984 Removal of cataract with insertion of lens	82	58	$3316.00	$644.56
76519 Ultrasound of eye for determination of lens power	75	57	$156.64	$56.51
92136 Measurement of corneal curvature and depth of eye	70	40	$142.97	$48.10
92134 Imaging of retina	36	30	$117.00	$41.30
66982 Complex removal of cataract with insertion of prosthetic lens	27	23	$4120.00	$817.69
66821 Removal of recurring cataract in lens capsule using a laser	25	22	$1823.20	$361.81
66984 Removal of cataract with insertion of lens	22	18	$3316.00	$562.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	320	178	$249.00	$88.89
92014 Established patient complete exam of visual system	192	182	$358.15	$127.72
76519 Ultrasound of eye for determination of lens power	97	76	$189.36	$67.68
92025 Ct scan of cornea	84	81	$75.00	$38.49
66984 Removal of cataract with insertion of lens	67	51	$3325.00	$618.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$467.00	$166.98
92134 Imaging of retina	50	43	$119.00	$40.45
92004 New patient complete exam of visual system	47	47	$429.00	$153.95
66984 Removal of cataract with insertion of lens	41	28	$3325.00	$654.35
66821 Removal of recurring cataract in lens capsule using a laser	21	17	$1663.40	$327.92
76512 Ultrasound of eye disease, growth, or structure	18	12	$214.00	$75.47
92136 Measurement of corneal curvature and depth of eye	17	17	$129.41	$46.26
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$4033.47	$794.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	368	183	$241.00	$84.98
92014 Established patient complete exam of visual system	191	183	$349.00	$123.62
66984 Removal of cataract with insertion of lens	117	75	$3295.00	$597.39
76519 Ultrasound of eye for determination of lens power	91	83	$234.09	$83.57
92025 Ct scan of cornea	77	69	$92.04	$37.75
92134 Imaging of retina	71	66	$116.00	$40.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$463.00	$166.03
92136 Measurement of corneal curvature and depth of eye	45	44	$111.87	$38.97
66821 Removal of recurring cataract in lens capsule using a laser	42	32	$1704.49	$335.90
92004 New patient complete exam of visual system	37	37	$420.00	$147.05
66982 Complex removal of cataract with insertion of prosthetic lens	21	19	$4094.00	$727.49
76512 Ultrasound of eye disease, growth, or structure	18	15	$262.00	$92.53
65756 Transplantation of outer layer of corneal tissue	17	16	$6102.00	$1159.18
92002 New patient problem focused exam of visual system	16	16	$229.00	$81.95
65400 Removal of growth of cornea	12	12	$3491.00	$686.98

Medical Specialties & State Licenses

CMS Verified: 2020-11-20

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX P6988

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

Commercial Insurance / Payer ID Tx Medical License

P6988 (TX)

Hospital & Practice Group Affiliations

Baylor College Of Medicine

2 Greenway Plz, Houston, TX 770460205

Baylor College Of Medicine

1977 Butler Boulevard 6th Floor, Houston, TX 770304101

Phone: 7137986131

Baylor College Of Medicine

1977 Butler Boulevard, Houston, TX 770304101

Baylor College Of Medicine

7200 Cambridge St, Houston, TX 770304202

Baylor College Of Medicine

1977 Butler Blvd, Houston, TX 770304101

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sanjay Mathew , MD

Psychiatry & Neurology - Psychiatry

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Doctor of Medicine (M.D.)

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Doctor of Medicine (M.D.)

Alan Sheinfil

Psychologist - Clinical

NPI 1043168420

Dr. Andrea Stolar , MD

Psychiatry & Neurology - Psychiatry

NPI 1063432243

Doctor of Medicine (M.D.)

Melody Fregia , LPC

Counselor - Professional

NPI 1063532224

Licensed Professional Counselor

Dr. Masih Ahmed , MD

Ophthalmology

NPI 1114345725

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 October 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2016

Registered at 1977 BUTLER BLVD, HOUSTON, TX 770304101 (Tel: 4048629626)

📍

Updated Business Mailing Address October 05, 2016

Registered at 9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 554313100 (Tel: 9528885800)

👤

Provider Name / Credentials Updated October 05, 2016

Recorded as SUMITRA KHANDELWAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2016

Ophthalmology (License #P6988 in TX)

🟢

Initial NPI Registration & Enumeration July 30, 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: 1093971079

Entity Type:

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

Enumeration Date: July 30, 2008

Last Update: November 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9801 Dupont Ave S, Suite 425

Bloomington, MN 554313100

Phone: 9528885800

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.