Active NPI 1851368286 Individual Practitioner Male Practitioner

Dr. Jonathan H Tsai , MD

Ophthalmology • Temple, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Tsai, MD is a certified Ophthalmology practicing in Temple, TX. With approximately 28 years of clinical experience since graduating from University Of South Carolina School Of Medicine in 1998, Dr. Tsai delivers high-quality medical care to the local community at SCOTT AND WHITE EYE INSTITUTE.

Dr. Tsai is affiliated with Scott And White Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of content of eyes, exam of visual field with limited testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Scott And White Eye Institute
2401 South 31st Street

Temple, TX 765080001

Telephone 2547247784

Fax 2547247791

Associated Practice Facility / Clinic

🏢 Scott & White Hospital Brenham Facility NPI 1154315307

Medicare Profile & Education

Medical School

University Of South Carolina School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Temple, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +9.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

32 Specialists

Practicing in Temple, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tsai (28 Years) 28 Yrs

Temple Specialty Average (18.9 Years) 18.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	136	$209.00	$91.18
92285 Photography of content of eyes	117	114	$9.00	$2.87
92081 Exam of visual field with limited testing	88	86	$48.00	$15.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$322.00	$127.48
92136 Measurement of corneal curvature and depth of eye	70	45	$90.00	$28.28
99213 Established patient office or other outpatient visit, typically 15 minutes	67	65	$142.00	$62.86
66984 Removal of cataract with insertion of lens	65	40	$1922.00	$511.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$210.00	$78.40
15823 Removal of excessive skin and fat of upper eyelid	37	37	$2742.00	$782.43
67904 Repair of tendon of upper eyelid	28	28	$3268.13	$814.20
67840 Removal of eyelid growth	23	22	$826.89	$144.47
66821 Removal of recurring cataract in lens capsule using a laser	15	11	$1018.87	$296.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	151	$209.00	$92.95
92285 Photography of content of eyes	115	114	$9.00	$2.87
92136 Measurement of corneal curvature and depth of eye	111	70	$90.00	$28.60
66984 Removal of cataract with insertion of lens	107	68	$1922.00	$502.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$322.00	$125.07
99213 Established patient office or other outpatient visit, typically 15 minutes	99	97	$142.00	$63.49
92082 Exam of visual field with intermediate testing	67	64	$65.00	$19.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$210.00	$78.56
67840 Removal of eyelid growth	30	30	$872.53	$150.71
68840 Probing of nasal-tear duct	27	27	$478.93	$135.26
15823 Removal of excessive skin and fat of upper eyelid	26	26	$2706.85	$768.67
92081 Exam of visual field with limited testing	25	25	$48.00	$15.32
67904 Repair of tendon of upper eyelid	21	21	$3097.50	$783.47
66821 Removal of recurring cataract in lens capsule using a laser	21	16	$986.00	$283.63
92004 New patient complete exam of visual system	19	19	$430.00	$90.88
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	17	15	$2317.00	$590.14
67917 Extensive repair of turning-outward eyelid defect	13	13	$2099.65	$398.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	121	$209.00	$93.47
99213 Established patient office or other outpatient visit, typically 15 minutes	110	108	$142.00	$64.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$322.00	$129.83
92285 Photography of content of eyes	96	96	$9.00	$2.89
92136 Measurement of corneal curvature and depth of eye	72	48	$90.00	$29.52
66984 Removal of cataract with insertion of lens	72	48	$1922.00	$518.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$210.00	$79.75
15823 Removal of excessive skin and fat of upper eyelid	28	28	$2742.00	$785.88
67904 Repair of tendon of upper eyelid	24	24	$3169.69	$816.20
68840 Probing of nasal-tear duct	23	23	$511.87	$147.81
92004 New patient complete exam of visual system	19	19	$430.00	$89.65
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$986.00	$298.31
92082 Exam of visual field with intermediate testing	14	14	$65.00	$20.12
67921 Suture repair of turning-inward eyelid defect	12	12	$1302.00	$333.12
67840 Removal of eyelid growth	11	11	$892.36	$146.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	153	$209.00	$96.45
92285 Photography of content of eyes	132	128	$9.00	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	99	93	$142.00	$65.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$322.00	$132.40
92136 Measurement of corneal curvature and depth of eye	78	55	$90.00	$30.04
66984 Removal of cataract with insertion of lens	76	50	$1922.00	$526.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$210.00	$80.68
67904 Repair of tendon of upper eyelid	37	37	$3128.72	$818.32
66821 Removal of recurring cataract in lens capsule using a laser	31	26	$986.00	$303.04
67840 Removal of eyelid growth	26	26	$849.46	$149.23
92014 Established patient complete exam of visual system	19	19	$358.00	$74.09
92004 New patient complete exam of visual system	19	19	$430.00	$94.51
15823 Removal of excessive skin and fat of upper eyelid	17	17	$2688.24	$788.56
68840 Probing of nasal-tear duct	17	17	$488.18	$142.96
67917 Extensive repair of turning-outward eyelid defect	14	14	$1949.68	$449.30
92025 Ct scan of cornea	12	12	$58.00	$19.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	160	$209.00	$78.04
92285 Photography of content of eyes	132	132	$9.00	$3.09
66984 Removal of cataract with insertion of lens	126	79	$1922.00	$541.23
92136 Measurement of corneal curvature and depth of eye	123	78	$90.00	$31.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$322.00	$128.67
99213 Established patient office or other outpatient visit, typically 15 minutes	93	89	$142.00	$50.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$210.00	$74.75
67840 Removal of eyelid growth	37	37	$851.16	$146.95
15823 Removal of excessive skin and fat of upper eyelid	36	36	$2716.61	$807.20
67904 Repair of tendon of upper eyelid	30	30	$3123.75	$838.79
68840 Probing of nasal-tear duct	20	20	$511.45	$151.75
66821 Removal of recurring cataract in lens capsule using a laser	17	15	$986.00	$308.43
92025 Ct scan of cornea	17	16	$58.00	$19.84
92004 New patient complete exam of visual system	11	11	$430.00	$98.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	264	161	$90.00	$31.13
66984 Removal of cataract with insertion of lens	246	154	$1922.00	$620.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	218	$209.00	$76.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	176	176	$322.00	$124.65
92285 Photography of content of eyes	132	130	$9.00	$3.09
99213 Established patient office or other outpatient visit, typically 15 minutes	91	86	$142.00	$50.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$210.00	$75.06
67840 Removal of eyelid growth	41	40	$837.95	$153.55
92025 Ct scan of cornea	36	35	$58.00	$19.97
67904 Repair of tendon of upper eyelid	34	34	$3275.07	$847.55
15823 Removal of excessive skin and fat of upper eyelid	32	32	$2799.13	$764.99
92004 New patient complete exam of visual system	30	30	$430.00	$98.60
66821 Removal of recurring cataract in lens capsule using a laser	29	22	$986.00	$305.10
68840 Probing of nasal-tear duct	24	24	$514.67	$146.27
67917 Extensive repair of turning-outward eyelid defect	16	16	$2201.25	$435.99
66982 Complex removal of cataract with insertion of prosthetic lens	14	13	$2388.00	$782.24
67921 Suture repair of turning-inward eyelid defect	12	12	$1162.50	$316.83
68815 Probing of nasal-tear duct with insertion of tube or stent	11	11	$1582.45	$143.66
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	11	11	$2527.64	$677.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	199	127	$90.00	$30.28
66984 Removal of cataract with insertion of lens	192	119	$1922.00	$609.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	183	$209.00	$76.09
92285 Photography of content of eyes	146	142	$9.00	$3.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$322.00	$124.89
99213 Established patient office or other outpatient visit, typically 15 minutes	95	89	$142.00	$49.92
92004 New patient complete exam of visual system	40	40	$430.00	$97.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$210.00	$74.02
67840 Removal of eyelid growth	29	29	$959.03	$149.71
67904 Repair of tendon of upper eyelid	28	27	$3622.50	$749.35
92025 Ct scan of cornea	27	26	$58.00	$19.69
15823 Removal of excessive skin and fat of upper eyelid	25	25	$3509.76	$771.61
68840 Probing of nasal-tear duct	18	18	$514.67	$131.57
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	17	17	$2317.00	$601.60
66821 Removal of recurring cataract in lens capsule using a laser	17	17	$1044.00	$305.14
67921 Suture repair of turning-inward eyelid defect	15	14	$1264.80	$272.18
67900 Repair of brow paralysis	12	12	$2874.00	$618.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	184	120	$1922.00	$600.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	173	$209.00	$75.51
92136 Measurement of corneal curvature and depth of eye	165	118	$90.00	$29.98
92285 Photography of content of eyes	148	141	$9.00	$3.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$322.00	$125.13
99213 Established patient office or other outpatient visit, typically 15 minutes	97	89	$142.00	$49.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$210.00	$74.25
67904 Repair of tendon of upper eyelid	37	37	$3814.05	$773.34
68840 Probing of nasal-tear duct	29	28	$572.34	$136.11
92083 Exam of visual field with extended testing	25	25	$82.00	$27.20
92004 New patient complete exam of visual system	24	24	$430.00	$94.52
67840 Removal of eyelid growth	22	22	$855.18	$138.27
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	19	19	$2926.74	$698.20
15823 Removal of excessive skin and fat of upper eyelid	17	17	$3656.00	$782.36
66821 Removal of recurring cataract in lens capsule using a laser	16	14	$986.00	$280.39
67917 Extensive repair of turning-outward eyelid defect	13	13	$2709.23	$447.86
68815 Probing of nasal-tear duct with insertion of tube or stent	12	12	$1450.58	$110.54
92025 Ct scan of cornea	12	11	$58.00	$19.53
67810 Biopsy of eyelid	11	11	$506.00	$63.55

Medical Specialties & State Licenses

CMS Verified: 2020-12-30

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX M7708

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

T83479 (SC)

Hospital & Practice Group Affiliations

Scott And White Clinic

2401 S 31st St, Temple, TX 765080001

Phone: 2547242459

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Derrick Fung , MD

Ophthalmology

NPI 1043479439

Doctor of Medicine (M.D.)

Dr. Josh Yuen , OD

Optometrist

NPI 1275821837

Doctor of Optometry

Jessica Shultz , PNP

Nurse Practitioner - Pediatrics

NPI 1487987574

Pediatric Nurse Practitioner

Dr. Kenneth Lao , MD

Ophthalmology

NPI 1861463093

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address December 30, 2020

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547248800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2020

Ophthalmology (License #M7708 in TX)

✅

NPI Profile Active May 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 04, 2012

Registered at SCOTT AND WHITE EYE INSTITUTE, 2401 SOUTH 31ST STREET, TEMPLE, TX 765080001 (Tel: 2547247784)

📍

Updated Business Mailing Address May 04, 2012

Registered at SCOTT AND WHITE EYE INSTITUTE, 2401 SOUTH 31ST STREET, TEMPLE, TX 765080001 (Tel: 2547247784)

👤

Provider Name / Credentials Updated May 04, 2012

Recorded as JONATHAN TSAI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2012

Ophthalmology (License #23921 in SC)

🟢

Initial NPI Registration & Enumeration March 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jonathan Tsai. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1851368286

Entity Type:

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

Enumeration Date: March 03, 2006

Last Update: December 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 2547248800

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.