DR. RAVI DILIP PATEL M.D.
NPI 1013280890
Ophthalmology - Retina Specialist in Toms River, NJ

Active since February 09, 2012PECOS EnrolledAccepts Medicare Assignment
70.1/100
CMS Quality Rating
780 RTE 37 W, SUITE 200, TOMS RIVER, NJ 08755(732) 797-1855 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Jul 16, 2021, Mar 31, 2017 (3 updates tracked since 2017).

About Dr. Ravi Dilip Patel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAVI DILIP PATEL M.D. (NPI 1013280890) is an individual retina specialist in Toms River, New Jersey, licensed in Pennsylvania (MD451845) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2006).

NPPES Registry Identity

NPI1013280890
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. RAVI DILIP PATELCredential: M.D.
Location Address780 RTE 37 W, SUITE 200Toms River, NJ 08755-5059
Mailing Address1380 Eaves Spring DrMalvern, PA 19355-8762 · (954) 816-7434
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2006
Enumeration DateFebruary 9, 2012
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1013280890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses Licensed in PA · MD451845 Licensed in NJ · 25MA09522400 Licensed in NY · 333659
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
780 RTE 37 W, Toms River, NJ 08755

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ravi Dilip Patel M.d. 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.

PECOS PAC ID8022272376
PECOS Enrollment IDI20140714000136, I20141222000406
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
10,320 services27 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,354 services827 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,837 services289 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,624 services122 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
1,397 services37 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,362 services791 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.08
Promoting Interoperability87
Improvement Activities40
Cost27.09

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
780 RTE 37 W, SUITE 210
TOMS RIVER, NJ 08755
Nurse Practitioner
780 RTE 37 W, SUITE 100
TOMS RIVER, NJ 08755
Urology
780 RTE 37 W, SUITE 100
TOMS RIVER, NJ 08755
Ophthalmology (Retina Specialist)
780 RTE 37 W, SUITE 200
TOMS RIVER, NJ 08755
Specialist
780 RTE 37 W, SUITE 100
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
780 RTE 37 W, SUITE 210
TOMS RIVER, NJ 08755
Nuclear Medicine (Nuclear Cardiology)
780 RTE 37 W, SUITE 310
TOMS RIVER, NJ 08755

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 Ravi Patel's NPI number?

The NPI number for Ravi Patel is 1013280890. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Ravi Patel located?

Ravi Patel practices at 780 Rte 37 W Suite 200, Toms River, NJ 08755. The listed phone number is (732) 797-1855.

What is Ravi Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Ravi Patel enrolled in Medicare?

Yes. Ravi 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.

What insurance does Ravi Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Ravi 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 Ravi Patel was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.