Active NPI 1497799662 Individual Practitioner Male Practitioner

Dr. Ninh Xuan Pham , OD

Optometrist • La Porte, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ninh Pham, OD is a certified Optometrist practicing in La Porte, TX. With approximately 24 years of clinical experience since graduating from University Of Houston - College Of Optometry in 2002, Dr. Pham delivers high-quality medical care to the local community at 9025 SPENCER HWY.

Dr. Pham accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, imaging of front third of eye using a special microscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9025 Spencer Hwy
Doctor Of Optometry

La Porte, TX 775713870

Telephone 2815429350

Fax 2815429355

Associated Practice Facility / Clinic

🏢 Wal-Mart Stores Texas Llc Facility NPI 1013934165

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in La Porte, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -7.3 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

7 Specialists

Practicing in La Porte, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pham (24 Years) 24 Yrs

La Porte Specialty Average (31.3 Years) 31.3 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	136	105	$75.00	$33.54
99213 Established patient office or other outpatient visit, typically 15 minutes	135	102	$137.41	$91.04
92286 Imaging of front third of eye using a special microscope	130	102	$80.00	$36.77
76514 Ultrasound scan of cornea to determine thickness	120	90	$25.00	$10.71
92081 Exam of visual field with limited testing	116	88	$70.00	$29.75
92133 Imaging of optic nerve	95	86	$74.89	$36.07
92020 Examination of cornea and iris using lens device and slit lamp	94	67	$54.89	$27.16
92025 Ct scan of cornea	75	68	$74.93	$32.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	24	$195.00	$128.89
92132 Imaging of front third of eye	50	47	$65.00	$28.53
92004 New patient complete exam of visual system	45	45	$214.11	$147.83
92014 Established patient complete exam of visual system	44	43	$195.00	$124.93
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	44	27	$255.00	$124.48
92285 Photography of content of eyes	41	36	$50.12	$23.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
65778 Insertion of amniotic membrane to eye surface	110	21	$1686.09	$1335.43
92250 Photography of the retina	95	68	$74.95	$34.78
92286 Imaging of front third of eye using a special microscope	91	68	$79.67	$37.06
76514 Ultrasound scan of cornea to determine thickness	81	60	$25.68	$10.90
92081 Exam of visual field with limited testing	76	55	$70.07	$30.37
99213 Established patient office or other outpatient visit, typically 15 minutes	68	53	$139.56	$91.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	37	$194.38	$129.79
92133 Imaging of optic nerve	64	56	$74.69	$37.17
92020 Examination of cornea and iris using lens device and slit lamp	55	40	$54.45	$27.88
92014 Established patient complete exam of visual system	44	40	$195.45	$127.70
92025 Ct scan of cornea	43	37	$79.19	$33.31
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	39	28	$250.38	$127.09
92285 Photography of content of eyes	33	29	$50.00	$23.24
92132 Imaging of front third of eye	23	22	$65.43	$30.27
92004 New patient complete exam of visual system	23	23	$215.00	$151.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
65778 Insertion of amniotic membrane to eye surface	257	39	$1500.00	$1437.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	82	$135.14	$131.74
92133 Imaging of optic nerve	72	62	$54.86	$37.96
92286 Imaging of front third of eye using a special microscope	71	49	$135.00	$38.08
76514 Ultrasound scan of cornea to determine thickness	71	49	$20.00	$11.16
92081 Exam of visual field with limited testing	70	48	$55.00	$30.66
92250 Photography of the retina	69	47	$78.70	$34.78
92020 Examination of cornea and iris using lens device and slit lamp	60	39	$35.00	$28.88
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	48	38	$154.17	$130.87
92285 Photography of content of eyes	15	14	$45.00	$23.92
92025 Ct scan of cornea	13	12	$50.00	$33.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
65778 Insertion of amniotic membrane to eye surface	165	32	$1500.00	$1500.00
76514 Ultrasound scan of cornea to determine thickness	70	59	$25.57	$11.47
92081 Exam of visual field with limited testing	68	57	$55.00	$31.96
92250 Photography of the retina	62	51	$80.00	$39.84
92286 Imaging of front third of eye using a special microscope	57	46	$135.00	$37.23
92020 Examination of cornea and iris using lens device and slit lamp	40	33	$36.13	$29.08
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$90.00	$90.00
92014 Established patient complete exam of visual system	26	26	$160.00	$132.05
92133 Imaging of optic nerve	25	25	$55.00	$38.73
92100 Multiple measurements of eye fluid pressure over an extended time period	24	20	$100.00	$89.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	12	$135.00	$134.57
92004 New patient complete exam of visual system	20	20	$185.00	$156.87
92285 Photography of content of eyes	17	16	$50.29	$23.97
92025 Ct scan of cornea	17	16	$50.00	$34.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92286 Imaging of front third of eye using a special microscope	70	57	$135.00	$37.13
92250 Photography of the retina	69	60	$80.00	$46.62
92081 Exam of visual field with limited testing	65	56	$54.77	$31.53
99213 Established patient office or other outpatient visit, typically 15 minutes	63	56	$90.71	$77.41
76514 Ultrasound scan of cornea to determine thickness	57	50	$24.74	$11.65
92133 Imaging of optic nerve	53	48	$55.00	$38.53
92025 Ct scan of cornea	47	42	$50.21	$34.65
92285 Photography of content of eyes	46	39	$45.11	$19.41
92100 Multiple measurements of eye fluid pressure over an extended time period	45	36	$100.00	$85.67
92014 Established patient complete exam of visual system	41	38	$160.12	$130.53
92132 Imaging of front third of eye	31	31	$46.29	$29.94
92020 Examination of cornea and iris using lens device and slit lamp	28	23	$34.46	$28.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	19	$136.11	$111.44
92145 Measurement of corneal pressure	18	18	$20.00	$13.94
92004 New patient complete exam of visual system	14	14	$185.00	$155.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	151	71	$35.00	$28.10
92250 Photography of the retina	74	69	$80.14	$50.94
92286 Imaging of front third of eye using a special microscope	74	68	$135.34	$36.21
92081 Exam of visual field with limited testing	63	61	$55.00	$31.05
99213 Established patient office or other outpatient visit, typically 15 minutes	63	48	$90.25	$75.17
92025 Ct scan of cornea	62	57	$50.08	$35.17
92133 Imaging of optic nerve	45	43	$57.22	$37.58
76514 Ultrasound scan of cornea to determine thickness	43	38	$21.16	$12.04
92014 Established patient complete exam of visual system	33	32	$160.76	$128.62
92285 Photography of content of eyes	27	26	$45.37	$18.84
92020 Examination of cornea and iris using lens device and slit lamp	25	24	$37.40	$28.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$135.25	$109.09
92004 New patient complete exam of visual system	17	17	$185.00	$153.37
92100 Multiple measurements of eye fluid pressure over an extended time period	13	13	$100.00	$83.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	143	68	$30.00	$26.86
92250 Photography of the retina	68	63	$79.26	$54.99
92081 Exam of visual field with limited testing	65	64	$50.00	$31.05
92286 Imaging of front third of eye using a special microscope	64	59	$45.16	$34.83
99213 Established patient office or other outpatient visit, typically 15 minutes	49	40	$78.57	$71.84
92025 Ct scan of cornea	37	36	$39.73	$34.25
92133 Imaging of optic nerve	32	30	$50.63	$37.22
92014 Established patient complete exam of visual system	32	31	$131.47	$124.58
92004 New patient complete exam of visual system	27	27	$154.63	$148.98
92020 Examination of cornea and iris using lens device and slit lamp	15	13	$30.00	$26.54
76514 Ultrasound scan of cornea to determine thickness	15	13	$20.67	$14.28
92134 Imaging of retina	11	11	$51.82	$41.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	150	72	$30.00	$25.49
92250 Photography of the retina	73	70	$88.08	$62.12
92286 Imaging of front third of eye using a special microscope	72	69	$44.79	$33.45
92081 Exam of visual field with limited testing	70	66	$41.86	$29.43
99213 Established patient office or other outpatient visit, typically 15 minutes	56	45	$75.00	$68.99
92004 New patient complete exam of visual system	43	43	$154.40	$140.38
92133 Imaging of optic nerve	30	27	$50.00	$35.34
92014 Established patient complete exam of visual system	23	23	$130.00	$117.03
76514 Ultrasound scan of cornea to determine thickness	16	13	$20.63	$13.35
92020 Examination of cornea and iris using lens device and slit lamp	16	13	$30.00	$25.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$104.36	$97.48

Medical Specialties & State Licenses

CMS Verified: 2024-01-11

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 6245TG

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Ha Dang , OD

Optometrist

NPI 1033162656

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 04, 2018

Registered at 10 MAJESTIC FALLS DR, KINGWOOD, TX 773393510 (Tel: 2815429350)

✅

NPI Profile Active July 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2008

Registered at 9025 SPENCER HWY, DOCTOR OF OPTOMETRY, LA PORTE, TX 775713870 (Tel: 2815429350)

📍

Updated Business Mailing Address July 21, 2008

Registered at 3919 FAIRMONT PKWY, SUITE # 220, PASADENA, TX 775043075 (Tel: 7132566464)

👤

Provider Name / Credentials Updated July 21, 2008

Recorded as NINH PHAM, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2008

Optometrist (License #6245TG in TX)

🟢

Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497799662

Entity Type:

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

Enumeration Date: June 16, 2006

Last Update: January 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Majestic Falls Dr

Kingwood, TX 773393510

Phone: 2815429350

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.