DR. AJAY S PATEL OD
NPI 1003248907
Optometrist in Plano, TX
About Dr. Ajay S Patel Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AJAY S PATEL OD (NPI 1003248907) is an individual optometrist in Plano, Texas, licensed in Texas (8312TG) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ajay S Patel Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Ajay Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plano, TX 75025
- Reassigned Medicare billing, Texas enrollment
- 10 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Texas enrollment
- 8 clinicians in this Medicare group
Duncanville, TX 75137
- Reassigned Medicare billing, Texas enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ajay Patel's NPI number?
The NPI number for Ajay Patel is 1003248907. It was assigned to this individual provider in the NPPES registry on August 1, 2013.
Where is Ajay Patel located?
Ajay Patel practices at 9955 Gillespie Dr Suite 100, Plano, TX 75025. The listed phone number is (972) 403-1110.
What is Ajay Patel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ajay Patel enrolled in Medicare?
Yes. Ajay Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ajay Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Patel reassigns Medicare benefits to 3 organizations: Brooks Eye Associates, PLLC (Plano, TX), Eye Consultants Of Texas PA (Grapevine, TX) and Andy M Lee MD PA (Duncanville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ajay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ajay Patel accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. and 8 other insurers list Ajay Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ajay Patel was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ajay S Patel, OD · NPI 1003248907
Optometrist provider in Plano, Texas. Individual provider, active in the CMS NPPES registry since August 1, 2013.
## Identity
- **NPI:** 1003248907 (Entity type: Individual)
- **Enumerated:** August 1, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 8312TG (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9955 GILLESPIE DR, SUITE 100, Plano, TX 75025
- **Phone:** (972) 403-1110 · **Fax:** (972) 403-1153
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Brooks Eye Associates, PLLC (NPI 1285970467, Plano, TX); Eye Consultants Of Texas PA (NPI 1265588461, Grapevine, TX); Andy M Lee MD PA (NPI 1346352648, Duncanville, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003248907) · Data from the CMS NPPES public registry.