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DR. APOORVA JINKA-PATEL OD
NPI 1073965927
Optometrist in Lawrence Township, NJ

Active since July 04, 2016PECOS EnrolledAccepts Medicare Assignment
4 PRINCESS RD STE 202, LAWRENCE TOWNSHIP, NJ 08648(609) 219-9000 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2022, Sep 13, 2019, Jun 7, 2019 and 3 more (6 updates tracked since 2018).

About Dr. Apoorva Jinka-patel Od NPPES

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

DR. APOORVA JINKA-PATEL OD (NPI 1073965927) is an individual optometrist in Lawrence Township, New Jersey, licensed in New Jersey (27OA00710900) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elizabeth, and is a graduate of State University Of New York - State College Optometry (2016).

NPPES Registry Identity

NPI1073965927
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. APOORVA JINKA-PATELCredential: OD
Location Address4 PRINCESS RD STE 202Lawrence Township, NJ 08648-2322
Mailing Address11201 Blue Heron WayWest Windsor, NJ 08550-5444
Phone(609) 219-9000
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2016
Enumeration DateJuly 4, 2016
Last NPPES UpdateAugust 1, 20226 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1073965927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00710900✔ Licensed in MD · TA2532✔ Licensed in NY · TUV008873
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 008873 (NY)
4 PRINCESS RD STE 202, Lawrence Township, NJ 08648
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Secondary Practice Location 1

Location 11155 E Jersey StElizabeth, NJ 07201-2310 · Phone (212) 764-0008

Accepted Insurance

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

Dr. Apoorva Jinka-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.

PECOS PAC ID648507228
PECOS Enrollment IDI20220202001574
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 Reassignments

3

Medicare enrollment records show Apoorva Jinka-patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawrenceville Eye Care LLC
3.5 mi
Optometrist
4 PRINCESS RD STE 202
Lawrenceville, NJ 08648
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1235635541 (609) 219-9000
Advantagecare Physicians PC
42 mi
Internal Medicine
1050 CLOVE RD, UCC
Staten Island, NY 10301
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1063954113 (646) 680-1525
We Care For Eyes Inc
57 mi
Ophthalmic
9810 64TH AVE, 1B
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1538405287 (718) 896-1942

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 7

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 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.
235 services207 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.
161 services158 patients
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.
45 services31 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
44 services44 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
22 services22 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier16 claims16 services$51.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

LAWRENCEVILLE EYE CARE LLC
Optometrist
4 PRINCESS RD STE 202
LAWRENCEVILLE, NJ 08648
Mercer County (609) 219-9000

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 Apoorva Jinka-patel's NPI number?

The NPI number for Apoorva Jinka-patel is 1073965927. It was assigned to this individual provider in the NPPES registry on July 4, 2016.

Where is Apoorva Jinka-patel located?

Apoorva Jinka-patel practices at 4 Princess Rd Ste 202, Lawrence Township, NJ 08648. The listed phone number is (609) 219-9000.

What is Apoorva Jinka-patel's specialty?

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

Is Apoorva Jinka-patel enrolled in Medicare?

Yes. Apoorva Jinka-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 Apoorva Jinka-patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Apoorva Jinka-patel reassigns Medicare benefits to 3 organizations: Lawrenceville Eye Care LLC (Lawrenceville, NJ), Advantagecare Physicians PC (Staten Island, NY) and We Care For Eyes Inc (Rego Park, NY). 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 Apoorva Jinka-patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Apoorva Jinka-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 Oscar Health Insurance and 6 other insurers list Apoorva Jinka-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 Apoorva Jinka-patel was last updated on August 1, 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.