SANJAY K PATEL MD
NPI 1043263833
Ophthalmology in Mckinney, TX
About Sanjay K Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJAY K PATEL MD (NPI 1043263833) is an individual ophthalmology provider in Mckinney, Texas, licensed in Texas (K7199) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1994).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Other Identifiers 1
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
Sanjay K Patel Md 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.
Areas of Expertise CMS Part B claims 18
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 75069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Sanjay Patel's NPI number?
The NPI number for Sanjay Patel is 1043263833. It was assigned to this individual provider in the NPPES registry on May 19, 2006.
Where is Sanjay Patel located?
Sanjay Patel practices at 1501 Redbud Blvd, Mckinney, TX 75069. The listed phone number is (972) 548-0771.
What is Sanjay Patel's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Sanjay Patel enrolled in Medicare?
Yes. Sanjay 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 Sanjay Patel accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sanjay 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 Sanjay Patel was last updated on December 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
