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DR. INDIRA GM MENON M.D.
NPI 1164423075
Ophthalmology in Decatur, GA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1457 SCOTT BLVD, DECATUR, GA 30030(404) 292-2500(404) 294-9361 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Indira Gm Menon M.d. NPPES

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

DR. INDIRA GM MENON M.D. (NPI 1164423075) is an individual ophthalmology provider in Decatur, Georgia, licensed in Georgia (047623) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1996).

NPPES Registry Identity

NPI1164423075
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. INDIRA GM MENONCredential: M.D.
Location Address1457 SCOTT BLVDDecatur, GA 30030
Mailing AddressPo Box 1798Decatur, GA 30031-1798 · (404) 292-2500 · Fax (404) 294-9361
Phone(404) 292-2500
Fax(404) 294-9361
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1996
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164423075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 047623
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.
1457 SCOTT BLVD, Decatur, GA 30030
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Other Names 1

Former Name (1)Dr. Indira G Mamballikalathil M.d.

Other Identifiers 3

Medicare ID-Type Unspecified18BDFPBGA
Medicaid00837284AGA
Medicare UPING56039GA

Accepted Insurance

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

Dr. Indira Gm Menon 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 ID345301073
PECOS Enrollment IDI20100323000024
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 12

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 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.
481 services392 patients
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.
385 services247 patients
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.
74 services73 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.
69 services69 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.
65 services63 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
61 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%103 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

DR. PAUL EMMET MCMANUS M.D.
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500
DR. CHRISTINA LOPRESTO WEEKS M.D.
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500
DR. AJEET DHINGRA M.D.
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500
DR. LAURA ALISON BEALER M.D.
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500
SHALIN S SHAH M.D.
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500
RONAK PATEL M.D.
Ophthalmology (Glaucoma Specialist)
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500
EYE PHYSICIANS AND SURGEONS PC
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500
MAK ANESTHESIA DECATUR LLC
Anesthesiology
1457 SCOTT BLVD
DECATUR, GA 30030
Dekalb County (404) 292-2500

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 Indira Menon's NPI number?

The NPI number for Indira Menon is 1164423075. It was assigned to this individual provider in the NPPES registry on August 2, 2005. The provider is also known as Dr. Indira G Mamballikalathil M.D..

Where is Indira Menon located?

Indira Menon practices at 1457 Scott Blvd, Decatur, GA 30030. The listed phone number is (404) 292-2500.

What is Indira Menon's specialty?

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

Is Indira Menon enrolled in Medicare?

Yes. Indira Menon 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 Indira Menon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Indira Menon 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 Indira Menon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.