ASHOK R PENMATCHA M.D.
NPI 1174595516
Ophthalmology in Davenport, IA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
78.6/100
CMS Quality Rating
1230 E RUSHOLME ST, STE 203, DAVENPORT, IA 52803(563) 322-0923(563) 322-7403 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashok R Penmatcha M.d. NPPES

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

ASHOK R PENMATCHA M.D. (NPI 1174595516) is an individual ophthalmology provider in Davenport, Iowa, licensed in Iowa (31845) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1993).

NPPES Registry Identity

NPI1174595516
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameASHOK R PENMATCHACredential: M.D.
Location Address1230 E RUSHOLME ST, STE 203Davenport, IA 52803-2400
Mailing Address1230 E Rusholme St, Ste 203Davenport, IA 52803-2400 · (563) 322-0923 · Fax (563) 322-7403
Fax(563) 322-7403
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1993
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJune 30, 2010
NPI 1174595516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IA · 31845
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.
1230 E RUSHOLME ST, Davenport, IA 52803

Other Identifiers 8

Medicare PIN71964IA
Medicare PIN180031058
Other59311IA · Wellmark Bcbs
Medicare UPING51883
Medicare NSC0535960001IA
Medicare NSC0535960001IL
Medicare ID-Type Unspecified71964
Medicaid0156885IA

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

Ashok R Penmatcha 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 ID5193859288
PECOS Enrollment IDI20100811000383
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 16

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.
355 services347 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.
283 services223 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.
230 services226 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
183 services162 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
146 services60 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
105 services75 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

78.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost28.68

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers25 claims25 services$51.70 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier18 claims32 services$51.93 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims24 services$13.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Ophthalmology
1230 E RUSHOLME ST, STE 203
DAVENPORT, IA 52803
Physician Assistant
1230 E RUSHOLME ST, SUITE 150
DAVENPORT, IA 52803
Internal Medicine (Nephrology)
1230 E RUSHOLME ST, SUITE 303
DAVENPORT, IA 52803
Nurse Practitioner (Acute Care)
1230 E RUSHOLME ST, SUITE 303
DAVENPORT, IA 52803
Dietitian, Registered
1230 E RUSHOLME ST, SUITE 305
DAVENPORT, IA 52803
Ophthalmology
1230 E RUSHOLME ST, STE 203
DAVENPORT, IA 52803
Obstetrics & Gynecology (Gynecology)
1230 E RUSHOLME ST, STE 301
DAVENPORT, IA 52803
Optometrist
1230 E RUSHOLME ST, STE 203
DAVENPORT, IA 52803

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 Ashok Penmatcha's NPI number?

The NPI number for Ashok Penmatcha is 1174595516. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Ashok Penmatcha located?

Ashok Penmatcha practices at 1230 E Rusholme St Ste 203, Davenport, IA 52803. The listed phone number is (563) 322-0923.

What is Ashok Penmatcha's specialty?

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

Is Ashok Penmatcha enrolled in Medicare?

Yes. Ashok Penmatcha 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 Ashok Penmatcha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Ashok Penmatcha 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.

Is Ashok Penmatcha affiliated with any hospitals?

According to CMS data, Ashok Penmatcha is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini.

When was this NPI record last updated?

The NPPES record for Ashok Penmatcha was last updated on June 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.