Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRANAYA BISTA OD
NPI 1124792411
Optometrist in New Berlin, WI

Q: What is Pranaya Bista's NPI number?

The NPI number for Pranaya Bista is 1124792411. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Q: What is Pranaya Bista's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pranaya Bista was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since August 02, 2021PECOS Enrolled

4798 S MOORLAND RD, NEW BERLIN, WI 53151(262) 207-0023(262) 207-0015 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Pranaya Bista Od NPPES

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

DR. PRANAYA BISTA OD (NPI 1124792411) is an individual optometrist in New Berlin, Wisconsin, licensed in Wisconsin (3694-35) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124792411

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. PRANAYA BISTACredential: OD

Location Address4798 S MOORLAND RDNew Berlin, WI 53151-7486

Mailing Address3325 Anders LnBrookfield, WI 53005-2804 · (414) 241-4611

Phone(262) 207-0023

Fax(262) 207-0015

Sole ProprietorYes

Enumeration DateAugust 2, 2021

Last NPPES UpdateOctober 22, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1124792411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 3694-35

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.

4798 S MOORLAND RD, New Berlin, WI 53151

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Secondary Practice Locations 2

Location 12950 S Chase AveMilwaukee, WI 53207-6411 · Phone (414) 483-1092

Location 27511 Harwood AveWauwatosa, WI 53213-2606 · Phone (414) 453-1300

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 Louisiana, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Pranaya Bista Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Pranaya Bista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shoptikal LLC

3.3 mi

Eyewear Supplier

5722 S 108TH ST
Hales Corners, WI 53130

Reassigned Medicare billing, Wisconsin enrollment
187 clinicians in this Medicare group

NPI 1023691797 (920) 429-2211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 6

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

KATIE MORAWSKI PHARMD

Pharmacist