Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053920546 Individual Practitioner Female Practitioner

Dr. Christa Marie Widjaja , OD

Optometrist • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christa Widjaja, OD is a certified Optometrist practicing in Plano, TX. With approximately 6 years of clinical experience since graduating from University Of Houston - College Of Optometry in 2020, Dr. Widjaja delivers high-quality medical care to the local community at 5900 COIT RD.

Dr. Widjaja is affiliated with Plano Eye Associates Pc and accepts Medicare assignment.

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

5900 Coit Rd

Plano, TX 750235959

Telephone 9729851412
Associated Practice Facility / Clinic
🏢 Plano Eye Associates Pc Facility NPI 1750581864

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Plano, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -12.3 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
110 Specialists

Practicing in Plano, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Widjaja (6 Years) 6 Yrs
Plano Specialty Average (18.3 Years) 18.3 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
115 109 $59.00 $34.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
107 89 $175.00 $122.82
99213 Established patient office or other outpatient visit, typically 15 minutes
52 34 $125.00 $86.81
92083 Exam of visual field with extended testing
22 19 $70.00 $59.09
92134 Imaging of retina
20 18 $45.00 $37.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $175.00 $160.25
92133 Imaging of optic nerve
15 15 $45.00 $32.94

Medical Specialties & State Licenses

CMS Verified: 2021-10-05
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 9933

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4215477 (TX)

Hospital & Practice Group Affiliations

Plano Eye Associates Pc

5900 Coit Rd, Plano, TX 750235959

Phone: 9729851412

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1083349161

Doctor of Optometry

NPI 1245751510

Doctor of Optometry

NPI 1285652032

Doctor of Optometry

NPI 1295666246

Doctor of Optometry

NPI 1386121168

Doctor of Optometry

NPI 1841213576

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 01, 2021

Registered at 5900 COIT RD, PLANO, TX 750235959 (Tel: 9729851412)

📍
Updated Business Mailing Address March 29, 2021

Registered at 5900 COIT RD, PLANO, TX 750235959 (Tel: 9729851412)

NPI Profile Active July 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2020

Registered at 1700 MONTGOMERY ST, FORT WORTH, TX 76107 (Tel: 8177376281)

📍
Updated Business Mailing Address July 30, 2020

Registered at 1700 MONTGOMERY ST, FORT WORTH, TX 76107

👤
Provider Name / Credentials Updated July 30, 2020

Recorded as CHRISTA WIDJAJA, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2020

Optometrist (License #9933 in TX)

🟢
Initial NPI Registration & Enumeration July 30, 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: 1053920546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2020
Last Update: October 05, 2021
Sole Proprietor: No

Mailing Address

5900 Coit Rd

Plano, TX 750235959

Phone: 9729851412

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.