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Active NPI 1679102669 Individual Practitioner Female Practitioner

Pawarissara Osathanugrah

Ophthalmology • Pflugerville, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Pawarissara Osathanugrah is a certified Ophthalmology practicing in Pflugerville, TX. With approximately 6 years of clinical experience since completing medical education in 2020, Pawarissara Osathanugrah delivers high-quality medical care to the local community at 2600 E PFLUGERVILLE PKWY BLDG 2.

Pawarissara Osathanugrah maintains professional affiliations with Health First Physician Specialties Inc, Scott And White Clinic, Palm Beach Eye Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, established patient complete 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

2600 E Pflugerville Pkwy Bldg 2

Pflugerville, TX 786605998

Telephone 5126546500
Fax 5126546501
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Pflugerville, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Pflugerville, TX (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Osathanugrah (6 Years) 6 Yrs
Pflugerville Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
54 46 $183.00 $88.10
92014 Established patient complete exam of visual system
34 34 $263.00 $124.36
92083 Exam of visual field with extended testing
16 16 $133.00 $62.65
92134 Imaging of retina
15 15 $86.00 $39.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $348.00 $170.34
92133 Imaging of optic nerve
13 13 $78.00 $34.75
92250 Photography of the retina
13 13 $106.00 $35.80
92004 New patient complete exam of visual system
11 11 $314.00 $147.18

Medical Specialties & State Licenses

CMS Verified: 2026-06-08
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX W1076

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 FL ME166255

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 284761

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
128267600 (FL)
Commercial Insurance / Payer ID Hfmg
V5309 (FL)

Hospital & Practice Group Affiliations

Palm Beach Eye Center Inc

5057 S Congress Ave, Lake Worth, FL 334614723

Phone: 5614335200

Scott And White Clinic

1701 E Pflugerville Pkwy, Pflugerville, TX 786608990

Phone: 5122596000

Health First Physician Specialties Inc

1350 Hickory St, Melbourne, FL 329013224

Phone: 3214347000

Scott And White Clinic

2600 E Pflugerville Pkwy, Pflugerville, TX 786605998

Phone: 5126546500

Palm Beach Eye Center Inc

5162 Linton Blvd, Delray Beach, FL 334846567

Phone: 5618657290

Scott And White Clinic

2600 E Pflugerville Pkwy, Pflugerville, TX 786605999

Secondary Practice Locations

85 E Concord St

Boston, MA 021182335

Phone: 6174144020

1350 Hickory St

Melbourne, FL 329013224

Phone: 3214341401

Practice Associates & Co-Workers

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

21 Associated Practitioners
Dr. Adam O'brien , MD

Orthopaedic Surgery

NPI 1013283860

Doctor of Medicine (M.D.)

Dr. Dy Chin , DPM

Podiatrist - Primary Podiatric Medicine

NPI 1023768637

Doctor of Podiatric Medicine

Dr. Henry Ran , MD

Orthopaedic Surgery - Hand Surgery

NPI 1043630858

Doctor of Medicine (M.D.)

Dr. Branden Wilson , DO

Internal Medicine - Critical Care Medicine

NPI 1124656541

Doctor of Osteopathic Medicine (D.O.)

Dr. Ashley Hittinger , MD

Psychiatry & Neurology - Neurology

NPI 1144682972

Doctor of Medicine (M.D.)

Robert Sandoval , PA

Physician Assistant

NPI 1164076964

Physician Assistant

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 08, 2026

Registered at 2600 E PFLUGERVILLE PKWY BLDG 2, PFLUGERVILLE, TX 786605998 (Tel: 5126546500)

📍
Updated Business Mailing Address June 08, 2026

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 8009940371)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2026

Ophthalmology (License #ME166255 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Internal Medicine (License #284761 in MA)

📍
Updated Practice Location January 08, 2024

Registered at 85 E CONCORD ST, BOSTON, MA 021182335 (Tel: 6174144020)

📍
Updated Business Mailing Address January 08, 2024

Registered at 85 E CONCORD ST, BOSTON, MA 021182335

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2024

Ophthalmology (License #ME166255 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Internal Medicine (License #284761 in MA)

NPI Profile Active April 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2020

Registered at 2100 DORCHESTER AVE, DORCHESTER, MA 021245615 (Tel: 6172964000)

📍
Updated Business Mailing Address April 02, 2020

Registered at 416 MARLBOROUGH ST APT 701, BOSTON, MA 021151507

👤
Provider Name / Credentials Updated April 02, 2020

Recorded as PAWARISSARA OSATHANUGRAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2020

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: 1679102669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2020
Last Update: June 08, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 8009940371

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.