DR. SEEMA RAMESH PATEL MD
NPI 1205032265
Ophthalmology in Freehold, NJ

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
89.06/100
CMS Quality Rating
509 STILLWELLS CORNER RD, SUITE E5, FREEHOLD, NJ 07728(732) 431-9333(732) 431-3312 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Seema Ramesh Patel Md NPPES

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

DR. SEEMA RAMESH PATEL MD (NPI 1205032265) is an individual ophthalmology provider in Freehold, New Jersey, licensed in New Jersey (25MA08773700) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2005).

NPPES Registry Identity

NPI1205032265
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SEEMA RAMESH PATELCredential: MD
Location Address509 STILLWELLS CORNER RD, SUITE E5Freehold, NJ 07728-2965
Mailing Address509 Stillwells Corner Rd, Suite E5Freehold, NJ 07728-2965 · (732) 431-9333 · Fax (732) 431-3312
Fax(732) 431-3312
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2005
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 8, 2016
NPI 1205032265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NJ · 25MA08773700 Licensed in PA · MD448967
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.
509 STILLWELLS CORNER RD, Freehold, NJ 07728

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. Seema Ramesh Patel 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 ID7517010614
PECOS Enrollment IDI20110113000083
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 14

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.
473 services397 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.
361 services298 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).
262 services247 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.
220 services213 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.
184 services131 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
124 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

89.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.27
Improvement Activities40
Cost69.85

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%72 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 12

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

Psychologist
509 STILLWELLS CORNER RD
FREEHOLD, NJ 07728
Podiatrist (Foot & Ankle Surgery)
509 STILLWELLS CORNER RD, STE. E9
FREEHOLD, NJ 07728
Optometrist
509 STILLWELLS CORNER RD, SUITE E5
FREEHOLD, NJ 07728
Podiatrist
509 STILLWELLS CORNER RD, E9
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD, STE E5
FREEHOLD, NJ 07728
Obstetrics & Gynecology (Gynecology)
509 STILLWELLS CORNER RD
FREEHOLD, NJ 07728
Dentist (Oral and Maxillofacial Surgery)
509 STILLWELLS CORNER RD
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD, SUITE E5
FREEHOLD, NJ 07728

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 Seema Patel's NPI number?

The NPI number for Seema Patel is 1205032265. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Seema Patel located?

Seema Patel practices at 509 Stillwells Corner Rd Suite E5, Freehold, NJ 07728. The listed phone number is (732) 431-9333.

What is Seema Patel's specialty?

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

Is Seema Patel enrolled in Medicare?

Yes. Seema Patel 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 Seema Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Seema Patel 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 Seema Patel was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.