Dr. James Casey Packer , OD
Optometrist • Austin, TX
7415 Southwest Pkwy Ste 300
Austin, TX 787358998
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 5, 2010; this date does not establish years in practice.
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Published CMS data list 330 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 92250 — Photography of the retina: 79 service units.
- 92083 — Exam of visual field with extended testing: 76 service units.
- 92285 — Photography of content of eyes: 75 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 23 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Travoprost — 12 prescription fills, including refills.
- Dexamethasone Sodium Phosphate — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 60% of clinicians listed under Optometrist in Austin, TX (2024, 75 clinicians with data). Median for this group: 29. Middle half: 17 to 80.
Fewer Part D prescriptions than 75% of clinicians listed under Optometrist in Texas (2024, 1,883 clinicians with data). Median for this group: 77. Middle half: 27 to 245.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 693 in 2019 to 330 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2023.
Practice Location & Contact Primary Location
7415 Southwest Pkwy Ste 300
Austin, TX 787358998
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Greenville, SC. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Lone Star Eye Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Houston - College Of Optometry
2010
What Public CMS Data Show
Optometrist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $21,590 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
Paid by Medicare
About $13,762 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
30-day fills
34 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,456 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $39.16 across 2 records.
By nature of payment
- Food and Beverage: $39.16 across 2 records.
Reporting-company totals
- ABBVIE INC.: $21.16 across 1 record.
- Bausch & Lomb Americas Inc.: $18.00 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
16 years (graduated 2010)
CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2010
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Packer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Packer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Optometrist in Austin, TX (2024, 75 clinicians with data). Median for this group: 29. Middle half: 17 to 80.
Fewer Part D prescriptions than 75% of clinicians listed under Optometrist in Texas (2024, 1,883 clinicians with data). Median for this group: 77. Middle half: 27 to 245.
Part D drug cost
Close to the middle for clinicians listed under Optometrist in Austin, TX (2024, 75 clinicians with data). Median for this group: $6,986. Middle half: $222 to $19,380.
Close to the middle for clinicians listed under Optometrist in Texas (2024, 1,883 clinicians with data). Median for this group: $6,756. Middle half: $496 to $34,775.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Packer are from 2023.
256 active clinicians are listed under Optometrist with a practice address in Austin, TX (5,010 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
0% of these 256 clinicians have the CMS telehealth indicator.
53.9% of these 256 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 52% from 693 in 2019 to 330 in 2023.
- 2019: 693
- 2020: 482
- 2021: 626
- 2022: 568
- 2023: 330
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Medicare-allowed amount
Medicare-allowed amount decreased 54% from $47,249 in 2019 to $21,590 in 2023.
- 2019: $47,249
- 2020: $60,354
- 2021: $42,934
- 2022: $38,491
- 2023: $21,590
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Paid by Medicare
Paid by Medicare decreased 58% from $33,157 in 2019 to $13,762 in 2023.
- 2019: $33,157
- 2020: $45,236
- 2021: $28,972
- 2022: $26,952
- 2023: $13,762
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 17 in 2020 to 23 in 2024.
- 2020: 17
- 2021: 29
- 2022: 12
- 2023: 16
- 2024: 23
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30-day fills
30-day fills went from 18 in 2020 to 34 in 2024.
- 2020: 18
- 2021: 42
- 2022: 23
- 2023: 21
- 2024: 34
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Part D drug cost
Part D drug cost went from $815 in 2020 to $2,456 in 2024.
- 2020: $815
- 2021: $4,397
- 2022: $2,780
- 2023: $2,290
- 2024: $2,456
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $226.20 in 2021 to $39.16 in 2025.
- 2021: $226.20
- 2022: $68.20
- 2023: $15.79
- 2024: $116.15
- 2025: $39.16
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $39.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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DURYSTA | General | $21.16 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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INFUSE | General | $18.00 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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92250
Photography of the retina
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79 | 78 | $95.00 | $34.90 |
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92083
Exam of visual field with extended testing
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76 | 75 | $115.00 | $64.37 |
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92285
Photography of content of eyes
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75 | 75 | $80.00 | $19.80 |
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92014
Established patient complete exam of visual system
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58 | 58 | $165.00 | $129.22 |
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92012
Established patient problem focused exam of visual system
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24 | 16 | $125.00 | $91.92 |
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92004
New patient complete exam of visual system
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18 | 18 | $165.00 | $153.04 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Travoprost | Travoprost | 12 | 615 | $2,058.95 | — |
| Dexamethasone Sodium Phosphate | Dexamethasone Sodium Phosphate | 11 | 347 | $397.21 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-07-08NUCC Taxonomy Code: 152W00000X
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.
NUCC Taxonomy Code: 152W00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPTOMETRY
I20110322000407
TX
8123201670
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Lone Star Eye Pllc
7415 Southwest Pkwy, Austin, TX 787358998
Phone: 5123287300
Secondary Practice Locations
1617 Wade Hampton Blvd
Greenville, SC 296095049
Phone: 8643229050
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Optometrist
Doctor of Optometry
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 7415 SOUTHWEST PKWY STE 300, AUSTIN, TX 787358998 (Tel: 5123287300)
Registered at 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 221822442 (Tel: 7038478899)
Optometrist (license number reported to NPPES: TX 7577)
NPI status registered as active in NPPES database
Registered at 2700 BARTON CREEK BLVD STE 110, AUSTIN, TX 787301528 (Tel: 5123287300)
Registered at 2700 BARTON CREEK BLVD STE 110, AUSTIN, TX 787351637 (Tel: 5123287300)
Recorded as JAMES PACKER, O.D.
Optometrist (license number reported to NPPES: TX 7577T)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Optometrists in Austin
- Dr. Victoria Defeo, OD
- Dr. Holly Richards, OD
- Hasnain Nizar
- Dr. Carla Gasparini, OD
- Dr. Robert Ramp, OD
- Dr. Katie Kaufman, OD
Mailing Address
8614 Westwood Center Dr Fl 9
Vienna, VA 221822442
Phone: 7038478899