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DR. MADHAVI JASPAL OD
NPI 1073160149
Optometrist in Plainview, NY

Active since August 22, 2019PECOS EnrolledAccepts Medicare Assignment
100 MANETTO HILL RD STE 202, PLAINVIEW, NY 11803(516) 935-9200 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2021, Feb 12, 2021, Jul 29, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Madhavi Jaspal Od NPPES

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

DR. MADHAVI JASPAL OD (NPI 1073160149) is an individual optometrist in Plainview, New York, licensed in New York (009184) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073160149
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MADHAVI JASPALCredential: OD
Location Address100 MANETTO HILL RD STE 202Plainview, NY 11803-1311
Mailing Address125 Kennedy Dr Ste 400Hauppauge, NY 11788-4017 · Fax (631) 257-5097
Phone(516) 935-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 22, 2019
Last NPPES UpdateJanuary 13, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1073160149 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 NY · 009184✔ Licensed in GA · OPT003202
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.
100 MANETTO HILL RD STE 202, Plainview, NY 11803
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Other Names 1

Other Name (5)Madhavi Uppal

Secondary Practice Locations 4

Location 1431 S Oyster Bay RdPlainview, NY 11803-3313 · Phone (516) 931-6330 · Fax (516) 931-6352
Location 29810 64th AveRego Park, NY 11374-2541 · Phone (718) 896-1942
Location 3800 Mount Vernon Hwy NEAtlanta, GA 30328-4295 · Phone (770) 255-1249
Location 4125 Kennedy Dr Ste 400Hauppauge, NY 11788-4017 · Phone (855) 295-4144 · Fax (631) 257-5097

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Madhavi Jaspal 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.

PECOS PAC ID7315367125
PECOS Enrollment IDI20201016000902
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 9

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.
176 services140 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
50 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services38 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
39 services20 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.
33 services33 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Madhavi Jaspal's NPI number?

The NPI number for Madhavi Jaspal is 1073160149. It was assigned to this individual provider in the NPPES registry on August 22, 2019. The provider is also known as Madhavi Uppal.

Where is Madhavi Jaspal located?

Madhavi Jaspal practices at 100 Manetto Hill Rd Ste 202, Plainview, NY 11803. The listed phone number is (516) 935-9200.

What is Madhavi Jaspal's specialty?

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

Is Madhavi Jaspal enrolled in Medicare?

Yes. Madhavi Jaspal 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 Madhavi Jaspal accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Madhavi Jaspal 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 Madhavi Jaspal was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.