Active NPI 1497863112 Individual Practitioner Male Practitioner

Dr. James Elwood Pickett , MD

Ophthalmology • San Marcos, TX

Professional Overview & Biography Verified Profile Summary

Dr. James Pickett, MD is a registered healthcare professional specializing in Ophthalmology in San Marcos, TX. Practice services are available at 2430 S IH 35 STE 106 under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2430 S Ih 35 Ste 106

San Marcos, TX 786665921

Telephone 5123531300

Fax 5123535135

Associated Practice Facility / Clinic

🏢 Balcones Eye Center, Pa Facility NPI 1538270285

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in San Marcos, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

6 Specialists

Practicing in San Marcos, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	136	136	$150.00	$124.81
92012 Established patient problem focused exam of visual system	45	43	$110.00	$87.91
92133 Imaging of optic nerve	44	44	$95.00	$35.46
92134 Imaging of retina	28	28	$95.00	$38.55
92083 Exam of visual field with extended testing	17	17	$175.00	$61.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	837	790	$130.71	$125.38
92133 Imaging of optic nerve	226	218	$54.95	$36.59
92012 Established patient problem focused exam of visual system	225	161	$92.80	$88.92
92134 Imaging of retina	155	148	$57.46	$40.11
92083 Exam of visual field with extended testing	83	79	$86.44	$62.58
92004 New patient complete exam of visual system	72	72	$159.77	$149.26
66821 Removal of recurring cataract in lens capsule using a laser	38	36	$440.53	$330.69
92020 Examination of cornea and iris using lens device and slit lamp	25	25	$32.72	$27.74
92002 New patient problem focused exam of visual system	13	13	$97.14	$85.19
76514 Ultrasound scan of cornea to determine thickness	11	11	$20.52	$10.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	757	711	$126.25	$124.23
92012 Established patient problem focused exam of visual system	253	175	$88.60	$86.97
92133 Imaging of optic nerve	228	216	$45.15	$36.79
92134 Imaging of retina	120	116	$46.51	$40.07
92083 Exam of visual field with extended testing	107	102	$67.34	$61.56
92004 New patient complete exam of visual system	82	82	$151.73	$148.29
92020 Examination of cornea and iris using lens device and slit lamp	26	26	$29.30	$27.53
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$365.55	$328.63
76514 Ultrasound scan of cornea to determine thickness	19	18	$18.07	$11.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	909	853	$126.38	$122.24
92012 Established patient problem focused exam of visual system	351	225	$88.51	$85.51
92133 Imaging of optic nerve	263	257	$45.67	$35.98
92083 Exam of visual field with extended testing	145	137	$66.05	$61.83
92004 New patient complete exam of visual system	135	135	$151.48	$146.43
92134 Imaging of retina	122	119	$46.49	$39.69
76514 Ultrasound scan of cornea to determine thickness	54	54	$18.07	$11.50
92020 Examination of cornea and iris using lens device and slit lamp	39	38	$29.30	$27.06
66821 Removal of recurring cataract in lens capsule using a laser	24	21	$326.80	$323.72
67820 Removal of eyelashes using forceps	20	18	$42.33	$31.96
92002 New patient problem focused exam of visual system	12	12	$83.93	$81.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	936	867	$126.31	$121.07
92012 Established patient problem focused exam of visual system	381	228	$88.89	$83.62
92133 Imaging of optic nerve	263	252	$46.43	$36.25
92083 Exam of visual field with extended testing	133	124	$70.24	$60.89
92134 Imaging of retina	128	125	$47.23	$39.78
92004 New patient complete exam of visual system	126	126	$151.90	$144.19
76514 Ultrasound scan of cornea to determine thickness	91	90	$19.25	$13.77
66821 Removal of recurring cataract in lens capsule using a laser	27	24	$325.54	$318.63
92020 Examination of cornea and iris using lens device and slit lamp	25	24	$30.16	$26.07
92002 New patient problem focused exam of visual system	24	24	$86.67	$80.62
67820 Removal of eyelashes using forceps	22	17	$42.33	$38.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	948	883	$121.98	$113.78
92012 Established patient problem focused exam of visual system	383	240	$84.64	$78.61
92133 Imaging of optic nerve	229	226	$45.59	$34.21
92083 Exam of visual field with extended testing	155	141	$64.57	$58.89
92134 Imaging of retina	126	124	$46.45	$37.86
92004 New patient complete exam of visual system	109	109	$146.83	$136.86
76514 Ultrasound scan of cornea to determine thickness	39	39	$17.24	$13.02
66821 Removal of recurring cataract in lens capsule using a laser	30	29	$324.21	$302.44
67820 Removal of eyelashes using forceps	28	22	$51.95	$46.46
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$28.60	$24.98
92002 New patient problem focused exam of visual system	13	13	$80.53	$75.20

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX G3694

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

Medicaid State Provider ID

120321802 (TX)

Commercial Insurance / Payer ID Tax Id

742732278 (TX)

Commercial Insurance / Payer ID Bcbs

85X691 (TX)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Christina Banh , OD

Optometrist

NPI 1366188385

Doctor of Optometry

Dr. Jonathan Welch , MD

Ophthalmology

NPI 1407024227

Doctor of Medicine (M.D.)

Dr. Rex Cole , MD

Ophthalmology

NPI 1407964109

Doctor of Medicine (M.D.)

Dr. Rahim Bhaloo , OD

Optometrist

NPI 1780069286

Doctor of Optometry

Dr. Johnathan Jeffers , MD

Ophthalmology

NPI 1841829009

Doctor of Medicine (M.D.)

Dr. Melissa Smith , MD

Ophthalmology

NPI 1922198621

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 28, 2020

Registered at 2430 S IH 35 STE 106, SAN MARCOS, TX 786665921 (Tel: 5123531300)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1300 WONDER WORLD DR, SAN MARCOS, TX 786667575 (Tel: 5123531300)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1300 WONDER WORLD DR, SAN MARCOS, TX 786667575 (Tel: 5123531300)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES PICKETT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #G3694 in TX)

🟢

Initial NPI Registration & Enumeration August 25, 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: 1497863112

Entity Type:

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

Enumeration Date: August 25, 2006

Last Update: October 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1300 Wonder World Dr

San Marcos, TX 786667575

Phone: 5123531300

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.