DR. MURTAZA MUSTAFA MANDVIWALA (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1881198133
Retina Specialist (Ophthalmology) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
Provider Addresses for DR. MURTAZA MUSTAFA MANDVIWALA (MD)
13406 MEDICAL COMPLEX DR STE 120
TOMBALL, TX 773753330
Phone: (832) 978-2273
Type: Mailing
12402 NORMONT DR
HOUSTON, TX 770702455
Phone: (832) 978-2273
Type: Mailing
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
2900 W Oklahoma Ave
Milwaukee, WI 532154330
Phone: (414) 649-3323
Type: Location
Aurora Saint Luke's Medical Center, 2900, West Oklahoma Avenue, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
MILWAUKEE, WI 532154330
Phone: (414) 649-3323
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,248.
Total Amount is formed as General ($1,248) + Research ($0) + Ownership ($0) = $1,248.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($970).
Total Amount
$1,248
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,248
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Carl Zeiss Meditec USA, Inc. | $970 |
| Boston Scientific Corporation | $105 |
| ABIOMED | $76 |
| Dutch Ophthalmic, USA | $40 |
| Bausch & Lomb Americas Inc. | $25 |
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: 2024-04-16
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 |
|---|---|---|---|---|
| I20240416001232 | 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 |
|---|---|---|---|---|
| 67028 | Injection of drug into eye | 797 | 466 | $0 |
| 92014 | Established patient complete exam of visual system | 65 | 55 | $0 |
| 92134 | Imaging of retina | 65 | 54 | $0 |
Insurance plans in this area (ZIP 77375)
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