DR. SAMUEL HUMBERTO JR. FAVELA (O.D.) – Optometrist, NPI 1245391754
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
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Provider Addresses for DR. SAMUEL HUMBERTO JR. FAVELA (O.D.)
El Paso Post Office, 8401, Boeing Drive, Cielo Vista, El Paso, El Paso County, Texas, 79925, United States
EL PASO, TX 799233157
Phone: (915) 577-0051
Fax: (915) 577-0054
Type: Mailing
North Mesa Street, Downtown Historic District, El Paso, El Paso County, Texas, 79901, United States
EL PASO, TX 799126287
Phone: (915) 544-0326
Fax: (915) 544-2897
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $930.
Total Amount is formed as General ($930) + Research ($0) + Ownership ($0) = $930.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($259).
Total Amount
$930
General + Research + Ownership
Payments
23
Total payment records
General Amount
$930
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $259 |
| Abbott Laboratories | $223 |
| Insulet Corporation | $143 |
| BIOTISSUE HOLDINGS, INC. | $86 |
| Tarsus Pharmaceuticals, Inc. | $72 |
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: 2007-11-13
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 |
|---|---|---|---|---|
| I20071113000412 | I | Optometry | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 109 | 77 | $0 |
| 92014 | Established patient complete exam of visual system | 67 | 66 | $0 |
| 92004 | New patient complete exam of visual system | 23 | 23 | $0 |
| 92083 | Exam of visual field with extended testing | 22 | 21 | $0 |
| 92133 | Imaging of optic nerve | 14 | 14 | $0 |
Insurance plans in this area (ZIP 79923)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | TX | 92083 | Measurement of field of vision during daylight conditions | 20 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| Ophthalmology, Plastic And Reconstructive Surgery | TX |
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