PRANAYA BISTA - NPI 1124792411 - Optometrist in Mequon, 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 August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Pranaya Bista NPPES

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

PRANAYA BISTA (NPI 1124792411) is an individual optometrist in Mequon, Wisconsin, licensed in Wisconsin (3694-35) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124792411

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NamePRANAYA BISTA

Location Address10996 N PORT WASHINGTON RDMequon, WI 53092-5031

Mailing Address13660 W Wildflower LnNew Berlin, WI 53151-7556 · (414) 241-4611

Phone(262) 240-9870

Sole ProprietorNo

Enumeration DateAugust 2, 2021

NPPES CertifiedAugust 2, 2021

✔ 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.

10996 N PORT WASHINGTON RD, Mequon, WI 53092

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pranaya Bista 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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 2

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

SHOPKO STORES OPERATING CO LLC

Eyewear Supplier

10996 N PORT WASHINGTON RD
MEQUON, WI 53092

Ozaukee County (262) 240-9870

SHOPTIKAL LLC

Eyewear Supplier

10996 N PORT WASHINGTON RD
MEQUON, WI 53092

Ozaukee County (262) 240-9870

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 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.

Where is Pranaya Bista located?

Pranaya Bista practices at 10996 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 240-9870.

What is Pranaya Bista's specialty?

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

Is Pranaya Bista enrolled in Medicare?

Yes. Pranaya Bista is registered in the Medicare PECOS enrollment system.

What insurance does Pranaya Bista accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 and 2 other insurers list Pranaya Bista 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 Pranaya Bista was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.