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Dr. Jonathan H Tsai , MD

Ophthalmology • Temple, TX

Active NPI 1851368286 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

Scott And White Eye Institute, 2401 South 31st Street
Temple, TX 765080001

Call 2547247784 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Scott And White Eye Institute
2401 South 31st Street

Temple, TX 765080001

Telephone 2547247784
Fax 2547247791
Organization at the Same NPPES Address or Phone
Scott & White Clinic Facility NPI 1003256488

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Scott And White Clinic. 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

Medical School

University Of South Carolina School Of Medicine

Graduation Year

1998

Medicare patients

368 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $126,490 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2024.

Paid by Medicare

About $95,104 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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, 2024.

30-day fills

821 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

$10,997 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $40.55 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

28 years (graduated 1998)

CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional 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

2006

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.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Tsai 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Tsai 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Temple and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Ophthalmology in Temple, TX (2024, 18 clinicians with data). Median for this group: 1,203. Middle half: 777 to 1,953.

Fewer Medicare Part B services than 70% of clinicians listed under Ophthalmology in Texas (2024, 992 clinicians with data). Median for this group: 1,764. Middle half: 751 to 3,589.

Medicare-allowed amount

Close to the middle for clinicians listed under Ophthalmology in Temple, TX (2024, 18 clinicians with data). Median for this group: $119,846. Middle half: $86,647 to $155,423.

A lower Medicare-allowed amount than 60% of clinicians listed under Ophthalmology in Texas (2024, 992 clinicians with data). Median for this group: $211,752. Middle half: $85,606 to $415,016.

Paid by Medicare

Close to the middle for clinicians listed under Ophthalmology in Temple, TX (2024, 18 clinicians with data). Median for this group: $87,942. Middle half: $62,042 to $113,274.

A lower Medicare payment amount than 60% of clinicians listed under Ophthalmology in Texas (2024, 992 clinicians with data). Median for this group: $151,943. Middle half: $60,170 to $302,740.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Ophthalmology in Temple, TX (2024, 19 clinicians with data). Median for this group: 528. Middle half: 270 to 1,421.

Close to the middle for clinicians listed under Ophthalmology in Texas (2024, 1,065 clinicians with data). Median for this group: 905. Middle half: 327 to 2,157.

Part D drug cost

Close to the middle for clinicians listed under Ophthalmology in Temple, TX (2024, 19 clinicians with data). Median for this group: $11,546. Middle half: $8,297 to $52,960.

A lower Part D drug cost than 75% of clinicians listed under Ophthalmology in Texas (2024, 1,065 clinicians with data). Median for this group: $73,797. Middle half: $14,089 to $240,265.

31 active clinicians are listed under Ophthalmology with a practice address in Temple, TX (1,517 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Temple

0% of these 31 clinicians have the CMS telehealth indicator.

58.1% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $40.55.

Manufacturer Payment Nature Product Type Amount ($)
Alcon Vision LLC
Food and Beverage
In-kind items and services
Clareon General $40.55

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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
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 with low level od decision making, if using time, 20 minutes or more
67 65 $142.00 $62.86
66984 Removal of cataract with insertion of prosthetic 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 growth of eyelid
23 22 $826.89 $144.47
66821 Removal of recurring cataract in lens capsule using a laser
15 11 $1018.87 $296.68

Source: CMS Part B by Provider and Service, 2024; 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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Erythromycin Erythromycin Base 451 5,036 $5,467.35 336
Ofloxacin Ofloxacin 128 2,534 $1,267.25 86
Prednisolone Acetate Prednisolone Acetate 126 2,748 $3,719.33 85
Acetaminophen-Codeine Acetaminophen With Codeine 62 117 $163.41 57
Cephalexin Cephalexin 27 189 $169.95 25
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 12 108 $34.59 11
Bacitracin-Polymyxin Bacitracin/Polymyxin B Sulfate 11 136 $174.75 —

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: 2020-12-30
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
T83479 (SC)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPHTHALMOLOGY

Medicare Enrollment ID

I20071030000154

Enrollment State Jurisdiction

TX

PECOS Control ID

6507872744

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Scott And White Clinic

2401 S 31st St, Temple, TX 765080001

Phone: 2547242459

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1043479439

Doctor of Medicine (M.D.)

NPI 1861463093

Doctor of Medicine (M.D.)

Jessica Shultz , PNP

Nurse Practitioner - Pediatrics

NPI 1487987574

Pediatric Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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 number reported to NPPES: TX M7708)

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NPI Profile Active May 04, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 04, 2012

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

📍
Business Mailing Address (Initial Record) May 04, 2012

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

👤
Provider Name / Credentials (Initial Record) May 04, 2012

Recorded as JONATHAN TSAI, M.D.

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

Ophthalmology (license number reported to NPPES: SC 23921)

🟢
Initial NPI Registration & Enumeration March 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

Other Ophthalmology Specialists in Temple

All Ophthalmology Specialists in Temple

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 2547248800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.