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ALI MAINAYAR
NPI 1013570381
Optometrist in Renton, WA

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
97.96/100
CMS Quality Rating
1412 SW 43RD ST # 310, RENTON, WA 98057(800) 826-4631 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2020, Jul 2, 2019, Apr 22, 2019 (3 updates tracked since 2019).

About Ali Mainayar NPPES

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

ALI MAINAYAR (NPI 1013570381) is an individual optometrist in Renton, Washington, licensed in Washington (OD61048791) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2019).

NPPES Registry Identity

NPI1013570381
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameALI MAINAYAR
Location Address1412 SW 43RD ST # 310Renton, WA 98057-4803
Mailing Address3518 109th Pl Ne Apt 225Bellevue, WA 98004-7645 · (425) 830-7252
Phone(800) 826-4631
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateAugust 6, 20203 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1013570381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WA · OD61048791✔ Licensed in NY · TUV009000-01
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1412 SW 43RD ST # 310, Renton, WA 98057
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.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

Ali Mainayar 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 ID1153650759
PECOS Enrollment IDI20200608000547
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.

Medicare Billing Reassignment

Medicare enrollment records show Ali Mainayar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sight Partners Physicians, P.C.
Same address
Ophthalmology
1412 SW 43RD ST, SUITE 310
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Sight Partners Physicians PC
  • 64 clinicians in this Medicare group
NPI 1487654331 (425) 235-1200

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
215 services124 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services113 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.
106 services86 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
85 services76 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
85 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

97.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.6
Improvement Activities40

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 Ali Mainayar's NPI number?

The NPI number for Ali Mainayar is 1013570381. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Ali Mainayar located?

Ali Mainayar practices at 1412 SW 43rd St # 310, Renton, WA 98057. The listed phone number is (800) 826-4631.

What is Ali Mainayar's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ali Mainayar enrolled in Medicare?

Yes. Ali Mainayar 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 organization bills Medicare for Ali Mainayar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Mainayar reassigns Medicare benefits to Sight Partners Physicians, P.C. (Renton, WA). The 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 Ali Mainayar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Mainayar accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ali Mainayar 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 Ali Mainayar was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.