Active NPI 1699739797 Individual Practitioner Female Practitioner

Dr. Priscilla J Metcalf , MD

Ophthalmology • Wharton, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Priscilla Metcalf, MD is a certified Ophthalmology practicing in Wharton, TX. With approximately 48 years of clinical experience since graduating from Medical College Of Wisconsin in 1978, Dr. Metcalf delivers high-quality medical care to the local community at 10119 US HIGHWAY 59 SOUTH.

Dr. Metcalf is affiliated with Matagorda Episcopal Health Outreach Program Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10119 Us Highway 59 South
Suite 4

Wharton, TX 774889719

Telephone 9795337337

Fax 9794882918

Associated Practice Facility / Clinic

🏢 Wharton Eye Associates Pa Facility NPI 1578084877

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Wharton, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs Matches City Avg

City Avg: 48.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Wharton, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Metcalf (48 Years) 48 Yrs

Wharton Specialty Average (48.0 Years) 48.0 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
92014 Established patient complete exam of visual system	165	163	$225.00	$119.22
99213 Established patient office or other outpatient visit, typically 15 minutes	137	100	$175.00	$86.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	53	$225.00	$122.42
92004 New patient complete exam of visual system	41	41	$275.00	$139.22
92083 Exam of visual field with extended testing	24	24	$175.00	$59.57
66984 Removal of cataract with insertion of lens	23	20	$1200.00	$511.54
76519 Ultrasound of eye for determination of lens power	22	20	$150.00	$63.97
92133 Imaging of optic nerve	21	21	$125.00	$31.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$125.00	$53.78
92012 Established patient problem focused exam of visual system	14	14	$175.00	$83.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	169	169	$225.00	$120.86
99213 Established patient office or other outpatient visit, typically 15 minutes	152	100	$175.00	$86.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	57	$225.00	$122.52
92004 New patient complete exam of visual system	52	52	$275.00	$141.23
76519 Ultrasound of eye for determination of lens power	34	31	$138.53	$59.26
92083 Exam of visual field with extended testing	34	34	$175.00	$59.74
66984 Removal of cataract with insertion of lens	32	29	$1200.00	$515.32
92133 Imaging of optic nerve	25	25	$125.00	$32.34
92012 Established patient problem focused exam of visual system	17	17	$175.00	$86.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$125.00	$53.18
92134 Imaging of retina	13	12	$125.00	$37.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	191	191	$225.00	$122.23
99213 Established patient office or other outpatient visit, typically 15 minutes	147	99	$175.00	$87.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	49	$225.00	$118.72
92004 New patient complete exam of visual system	46	46	$275.00	$145.72
92083 Exam of visual field with extended testing	38	37	$175.00	$60.77
92133 Imaging of optic nerve	25	24	$125.00	$33.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$125.00	$54.39
66984 Removal of cataract with insertion of lens	19	16	$1200.00	$473.98
92134 Imaging of retina	17	17	$125.00	$38.78
76519 Ultrasound of eye for determination of lens power	16	15	$145.13	$63.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	194	194	$222.16	$123.34
99213 Established patient office or other outpatient visit, typically 15 minutes	153	98	$172.06	$88.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	64	$219.52	$126.50
92004 New patient complete exam of visual system	64	64	$270.31	$144.30
92083 Exam of visual field with extended testing	39	37	$172.44	$60.44
92133 Imaging of optic nerve	35	33	$117.57	$33.24
76519 Ultrasound of eye for determination of lens power	23	22	$121.78	$53.43
66984 Removal of cataract with insertion of lens	18	17	$1200.00	$528.18
92134 Imaging of retina	12	12	$120.00	$38.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	189	187	$175.00	$123.39
99213 Established patient office or other outpatient visit, typically 15 minutes	153	100	$125.00	$72.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	53	$175.00	$106.36
92004 New patient complete exam of visual system	60	60	$225.00	$147.47
92083 Exam of visual field with extended testing	48	47	$150.00	$61.52
92133 Imaging of optic nerve	28	28	$60.00	$34.28
92012 Established patient problem focused exam of visual system	27	25	$150.00	$83.05
76519 Ultrasound of eye for determination of lens power	22	20	$116.14	$60.25
66984 Removal of cataract with insertion of lens	20	17	$1000.00	$527.08
92134 Imaging of retina	17	16	$65.00	$39.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$75.00	$43.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	139	$125.00	$71.31
92014 Established patient complete exam of visual system	189	188	$175.00	$121.39
92004 New patient complete exam of visual system	78	78	$225.00	$144.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	64	$175.00	$104.01
92083 Exam of visual field with extended testing	68	65	$150.00	$61.36
76519 Ultrasound of eye for determination of lens power	30	29	$103.33	$52.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$75.00	$43.15
66984 Removal of cataract with insertion of lens	27	26	$1000.00	$619.91
92012 Established patient problem focused exam of visual system	21	20	$150.00	$82.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	194	193	$130.00	$121.22
99213 Established patient office or other outpatient visit, typically 15 minutes	190	128	$90.00	$70.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	112	$150.00	$102.84
92004 New patient complete exam of visual system	88	88	$175.00	$143.29
92083 Exam of visual field with extended testing	44	43	$150.00	$61.48
76519 Ultrasound of eye for determination of lens power	40	32	$97.20	$63.10
66984 Removal of cataract with insertion of lens	37	30	$1000.00	$621.48
92082 Exam of visual field with intermediate testing	24	24	$120.00	$46.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$70.00	$42.06
92012 Established patient problem focused exam of visual system	16	16	$120.00	$84.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	226	221	$183.16	$118.15
99213 Established patient office or other outpatient visit, typically 15 minutes	198	140	$121.13	$69.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	70	$82.74	$41.36
92004 New patient complete exam of visual system	59	59	$223.53	$142.41
76519 Ultrasound of eye for determination of lens power	46	26	$92.89	$49.19
92082 Exam of visual field with intermediate testing	45	41	$97.25	$46.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$196.20	$103.06
66984 Removal of cataract with insertion of lens	30	28	$1211.93	$614.73
92133 Imaging of optic nerve	16	16	$77.00	$33.56

Medical Specialties & State Licenses

CMS Verified: 2022-01-06

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX G2783

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

119164508 (TX)

Commercial Insurance / Payer ID Railroad Medicare Ptan

P01948495 (TX)

Commercial Insurance / Payer ID Bcbs

8HB479 (TX)

Hospital & Practice Group Affiliations

Matagorda Episcopal Health Outreach Program Corporation

101 Ave F, Bay City, TX 774144117

Matagorda Episcopal Health Outreach Program Corporation

111 Ave F, Bay City, TX 774144117

Phone: 9792452008300

Secondary Practice Locations

111 Avenue F

Bay City, TX 774144117

Phone: 9792452008

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2018

Registered at 10119 US HIGHWAY 59 SOUTH, SUITE 4, WHARTON, TX 774889719 (Tel: 9795337337)

📍

Updated Business Mailing Address February 06, 2018

Registered at 10119 US HIGHWAY 59 SOUTH, SUITE 4, WHARTON, TX 774889719 (Tel: 9795337337)

👤

Provider Name / Credentials Updated February 06, 2018

Recorded as PRISCILLA METCALF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Ophthalmology (License #G2783 in TX)

✅

NPI Profile Active December 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2012

Registered at 2100 REGIONAL MEDICAL DR, WHARTON, TX 774889719 (Tel: 9795321700)

📍

Updated Business Mailing Address December 05, 2012

Registered at 2100 REGIONAL MEDICAL DR, WHARTON, TX 774889719 (Tel: 9795321700)

👤

Provider Name / Credentials Updated December 05, 2012

Recorded as PRISCILLA METCALF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2012

Ophthalmology (License #G2783 in TX)

🟢

Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699739797

Entity Type:

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

Enumeration Date: April 14, 2006

Last Update: January 06, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10119 Us Highway 59 South, Suite 4

Wharton, TX 774889719

Phone: 9795337337

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.