DR. AJEET DHINGRA M.D.
NPI 1184625907
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: July 19, 2026.

About Dr. Ajeet Dhingra M.d. NPPES

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

DR. AJEET DHINGRA M.D. (NPI 1184625907) is an individual ophthalmology provider in Decatur, Georgia, licensed in Georgia (053593) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1999).

NPPES Registry Identity

NPI1184625907
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. AJEET DHINGRACredential: M.D.
Location Address1457 SCOTT BLVDDecatur, GA 30030
Mailing AddressPo Box 1798Decatur, GA 30031-1798 · (404) 292-2500 · Fax (404) 294-9361
Fax(404) 294-9361
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1999
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1184625907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in GA · 053593
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

Other Identifiers 2

Medicare ID-Type Unspecified18BDGFNGA
Medicare UPINH89626GA

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

Dr. Ajeet Dhingra 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 ID5890856520
PECOS Enrollment IDI20100316000096
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.
638 services529 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.
569 services279 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.
171 services139 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).
164 services157 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.
134 services118 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.
52 services37 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%66 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.

Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Anesthesiology
1457 SCOTT BLVD
DECATUR, GA 30030
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030
Ophthalmology
1457 SCOTT BLVD
DECATUR, GA 30030

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 Ajeet Dhingra's NPI number?

The NPI number for Ajeet Dhingra is 1184625907. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Ajeet Dhingra located?

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

What is Ajeet Dhingra's specialty?

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

Is Ajeet Dhingra enrolled in Medicare?

Yes. Ajeet Dhingra 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 Ajeet Dhingra accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Ajeet Dhingra 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 Ajeet Dhingra was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.