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Active NPI 1821068107 Individual Practitioner Male Practitioner

Dr. Bruce James Sumlin , MD

Ophthalmology • Mcallen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Sumlin, MD is a certified Ophthalmology practicing in Mcallen, TX. With approximately 36 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1990, Dr. Sumlin delivers high-quality medical care to the local community at 1309 E RIDGE RD STE 1.

Dr. Sumlin accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of optic nerve, exam of visual field with extended testing, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1309 E Ridge Rd Ste 1

Mcallen, TX 785031518

Telephone 9566318875
Fax 9566831502
Associated Practice Facility / Clinic
🏢 Valley Retina Institute P.a. Facility NPI 1225139942

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Mcallen, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +5.9 yrs vs City Avg
City Avg: 30.1 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Mcallen, TX (1616 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumlin (36 Years) 36 Yrs
Mcallen Specialty Average (30.1 Years) 30.1 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
92133 Imaging of optic nerve
148 135 $60.00 $35.81
92083 Exam of visual field with extended testing
147 138 $100.00 $66.77
92250 Photography of the retina
133 124 $90.00 $37.16
76514 Ultrasound scan of cornea to determine thickness
119 118 $30.00 $11.22
92014 Established patient complete exam of visual system
101 92 $140.00 $131.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
90 84 $149.94 $134.41
92012 Established patient problem focused exam of visual system
90 61 $100.00 $93.37
99213 Established patient office or other outpatient visit, typically 15 minutes
80 64 $110.00 $95.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
75 75 $190.00 $175.48
92285 Photography of content of eyes
56 54 $40.00 $24.81
92004 New patient complete exam of visual system
50 50 $165.00 $155.81
92020 Examination of cornea and iris using lens device and slit lamp
46 46 $35.00 $28.52
92202 Extended exam of the back part of the eye with optic nerve drawing
26 26 $90.00 $15.92
66761 Creation of eye fluid drainage tracts in iris using a laser, per session
22 16 $350.00 $313.08

Medical Specialties & State Licenses

CMS Verified: 2026-06-26
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX W3437

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License DE C1-0008619

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MD D0067113

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License PA MD454657

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 Caqh
11809122

Secondary Practice Locations

1205 N Ed Carey Dr

Harlingen, TX 785509207

Phone: 9564232100

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1053054726

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Doctor of Medicine (M.D.), CHM, Doctor of Philosophy (Ph.D.)

Luis Barrera , PA-C

Physician Assistant

NPI 1174277198

Physician Assistant (Certified)

Andrea Sacramento

Physician Assistant

NPI 1316675820
NPI 1386762128

Doctor of Medicine (M.D.)

NPI 1437539533

Doctor of Medicine (M.D.)

NPI 1467613513

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 26, 2026

Registered at 1309 E RIDGE RD STE 1, MCALLEN, TX 785031518 (Tel: 9566318875)

📍
Updated Business Mailing Address June 26, 2026

Registered at PO BOX 4830, EDINBURG, TX 785404830 (Tel: 9566318875)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2026

Ophthalmology (License #C1-0008619 in DE)

📍
Updated Practice Location August 09, 2018

Registered at 6418 REISTERSTOWN RD, BALTIMORE, MD 212152308 (Tel: 4103188855)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Ophthalmology (License #MD454657 in PA)

NPI Profile Active August 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2016

Registered at 200 BANNING ST, SUITE 130, DOVER, DE 199043485 (Tel: 3026781700)

📍
Updated Business Mailing Address August 31, 2016

Registered at 200 BANNING ST, SUITE 130, DOVER, DE 199043485 (Tel: 3026781700)

👤
Provider Name / Credentials Updated August 31, 2016

Recorded as BRUCE SUMLIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2016

Ophthalmology (License #MD454657 in PA)

🟢
Initial NPI Registration & Enumeration January 26, 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: 1821068107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2006
Last Update: June 26, 2026
Sole Proprietor: No

Mailing Address

Po Box 4830

Edinburg, TX 785404830

Phone: 9566318875

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.