DR. PEYAM MOJALLAL OD
NPI 1154378511
Optometrist - Low Vision Rehabilitation in Ashburn, VA

Active since May 30, 2006PECOS Enrolled
20600 GORDON PARK SQ, SUITE 150, ASHBURN, VA 20147(703) 723-3433(703) 723-1920 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peyam Mojallal Od NPPES

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

DR. PEYAM MOJALLAL OD (NPI 1154378511) is an individual low vision rehabilitation provider in Ashburn, Virginia, licensed in Virginia (0618001051) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2000).

NPPES Registry Identity

NPI1154378511
Entity TypeIndividualMale
Primary Taxonomy152WL0500X
Provider Legal NameDR. PEYAM MOJALLALCredential: OD
Location Address20600 GORDON PARK SQ, SUITE 150Ashburn, VA 20147-3145
Mailing Address20600 Gordon Park Sq, Suite 150Ashburn, VA 20147-3145 · (703) 723-3433 · Fax (703) 723-1920
Fax(703) 723-1920
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2000
Enumeration DateMay 30, 2006
Last NPPES UpdateDecember 6, 2007
NPI 1154378511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License Licensed in VA · 0618001051
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
Also ListedOptometristTaxonomy 152W00000X · License 0618001051 (VA)
20600 GORDON PARK SQ, Ashburn, VA 20147

Other Identifiers 5

Medicare UPINU89477VA
Medicaid9236805VA
Medicare PIN00W337P01VA
Medicare UPINU89477
Medicare PING01946P01DC

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 (PECOS)

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

PECOS PAC ID4981673761
PECOS Enrollment IDI20040928001250, I20050422001196
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.

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.
184 services61 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
64 services51 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
57 services35 patients
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.
46 services26 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
37 services31 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.
29 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 7

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

Dentist (General Practice)
20600 GORDON PARK SQ, SUITE 110
ASHBURN, VA 20147
Dentist (General Practice)
20600 GORDON PARK SQ, SUITE 190
ASHBURN, VA 20147
Clinic/Center (Primary Care)
20600 GORDON PARK SQ, STE 130
ASHBURN, VA 20147
Optometrist
20600 GORDON PARK SQ, SUITE 150
ASHBURN, VA 20147
Optometrist
20600 GORDON PARK SQ, SUITE 150
ASHBURN, VA 20147
Clinic/Center (Dental)
20600 GORDON PARK SQ, SUITE 110
ASHBURN, VA 20147
Dentist (General Practice)
20600 GORDON PARK SQ, SUITE 110
ASHBURN, VA 20147

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 Peyam Mojallal's NPI number?

The NPI number for Peyam Mojallal is 1154378511. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Peyam Mojallal located?

Peyam Mojallal practices at 20600 Gordon Park Sq Suite 150, Ashburn, VA 20147. The listed phone number is (703) 723-3433.

What is Peyam Mojallal's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Peyam Mojallal enrolled in Medicare?

Yes. Peyam Mojallal is registered in the Medicare PECOS enrollment system.

What insurance does Peyam Mojallal 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 and 1 other insurer list Peyam Mojallal 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 Peyam Mojallal was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.