DR. GANESH U RAU MD
NPI 1174671291
Ophthalmology in Jersey City, NJ

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
94.8/100
CMS Quality Rating
203 PALISADE AVENUE, JERSEY CITY, NJ 07306(201) 653-5722(201) 792-9718 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ganesh U Rau Md NPPES

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

DR. GANESH U RAU MD (NPI 1174671291) is an individual ophthalmology provider in Jersey City, New Jersey, licensed in Wisconsin (51743) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2004).

NPPES Registry Identity

NPI1174671291
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GANESH U RAUCredential: MD
Location Address203 PALISADE AVENUEJersey City, NJ 07306
Mailing Address203 Palisade AvenueJersey City, NJ 07306 · (201) 653-5722 · Fax (201) 792-9718
Fax(201) 792-9718
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2004
Enumeration DateJanuary 8, 2007
Last NPPES UpdateFebruary 8, 2011
✔ NPI 1174671291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 51743
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.
203 PALISADE AVENUE, Jersey City, NJ 07306

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ganesh U Rau Md 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 ID1456424969
PECOS Enrollment IDI20100127000737
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 Reassignments

2

Medicare enrollment records show Ganesh Rau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
203 PALISADE AVE
Jersey City, NJ 07306
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
Ophthalmology
1255 BROAD ST STE 104
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 137 clinicians in this Medicare group

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

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.

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.
354 services330 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.
332 services258 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).
166 services165 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
142 services103 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.
106 services104 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.
103 services103 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

94.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost72.82

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 Ganesh Rau's NPI number?

The NPI number for Ganesh Rau is 1174671291. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Ganesh Rau located?

Ganesh Rau practices at 203 Palisade Avenue, Jersey City, NJ 07306. The listed phone number is (201) 653-5722.

What is Ganesh Rau's specialty?

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

Is Ganesh Rau enrolled in Medicare?

Yes. Ganesh Rau 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.

Which organizations bill Medicare for Ganesh Rau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ganesh Rau reassigns Medicare benefits to 2 organizations: Palisade Eye Associates,p.C. (Jersey City, NJ) and Eye Centers Of America, LLC (Bloomfield, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ganesh Rau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ganesh Rau accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Ganesh Rau 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 Ganesh Rau was last updated on February 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.