DR. RACHEL ANN GELMAN (M.D.) – Cornea and External Diseases Specialist Physician, NPI 1083052658
Cornea and External Diseases Specialist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,544 OPHTHALMOLOGY in TX
Provider Addresses for DR. RACHEL ANN GELMAN (M.D.)
PO BOX 749
PHARR, TX 785771614
Phone: (956) 362-2070
Fax: (956) 362-2074
Type: Mailing
5525 DOCTORS DR
EDINBURG, TX 78539
Phone: (956) 362-2070
Fax: (956) 362-2074
Type: Location
5201 N G ST
MCALLEN, TX 785044887
Phone: (956) 305-5795
Fax: (956) 618-4639
Type: Mailing
5525 Doctors Dr
Edinburg, TX 78539
Phone: (956) 362-2070
Fax: (956) 362-2074
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $23,785.
Total Amount is formed as General ($23,785) + Research ($0) + Ownership ($0) = $23,785.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($20,414).
Total Amount
$23,785
General + Research + Ownership
Payments
64
Total payment records
General Amount
$23,785
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $20,414 |
| Bausch & Lomb Americas Inc. | $1,430 |
| BIOTISSUE HOLDINGS INC. | $1,093 |
| Johnson & Johnson Surgical Vision, Inc. | $250 |
| LENSAR, INC. | $174 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181004000666 | I | Ophthalmology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 367 | 165 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 74 | 46 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 54 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 92025 | Ct scan of cornea | 28 | 17 | $0 |
Insurance plans in this area (ZIP 78577)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX |
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