SANGITA P PATEL M.D.
NPI 1093792483
Ophthalmology in Buffalo, NY

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
1176 MAIN ST, BUFFALO, NY 14209(716) 881-7900 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jun 12, 2018 (2 updates tracked since 2018).

About Sangita P Patel M.d. NPPES

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

SANGITA P PATEL M.D. (NPI 1093792483) is an individual ophthalmology provider in Buffalo, New York, licensed in New York (252914) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2004).

NPPES Registry Identity

NPI1093792483
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSANGITA P PATELCredential: M.D.
Location Address1176 MAIN STBuffalo, NY 14209
Mailing Address1176 Main StBuffalo, NY 14209-2102 · (716) 881-7900
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2004
Enumeration DateDecember 27, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1093792483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NY · 252914 Licensed in MN · 48010
Definition
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.
1176 MAIN ST, Buffalo, NY 14209

Other Identifiers 1

Medicaid03131317NY

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

Sangita P 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 ID3577591528
PECOS Enrollment IDI20090928000146
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 2

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 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.
48 services30 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14209 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.77
Promoting Interoperability98
Improvement Activities40
Cost42.82

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1176 MAIN ST
BUFFALO, NY 14209
Ophthalmology (Cornea and External Diseases Specialist)
1176 MAIN ST
BUFFALO, NY 14209
Technician/Technologist (Ophthalmic)
1176 MAIN ST
BUFFALO, NY 14209
Eyewear Supplier
1176 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1176 MAIN ST
BUFFALO, NY 14209
Ophthalmology
1176 MAIN ST
BUFFALO, NY 14209
Ophthalmology (Glaucoma Specialist)
1176 MAIN ST
BUFFALO, NY 14209
Optometrist (Corneal and Contact Management)
1176 MAIN ST
BUFFALO, NY 14209

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 Sangita Patel's NPI number?

The NPI number for Sangita Patel is 1093792483. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Sangita Patel located?

Sangita Patel practices at 1176 Main St, Buffalo, NY 14209. The listed phone number is (716) 881-7900.

What is Sangita Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sangita Patel enrolled in Medicare?

Yes. Sangita 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 Sangita Patel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sangita 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 Sangita Patel was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.