DR. PRADEEP METTU M.D.
NPI 1215236419
Ophthalmology in Raleigh, NC

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
4201 LAKE BOONE TRL STE 103, RALEIGH, NC 27607(919) 626-8783(844) 456-0925 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2019, Sep 18, 2017, Jun 28, 2016 (3 updates tracked since 2016).

About Dr. Pradeep Mettu M.d. NPPES

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

DR. PRADEEP METTU M.D. (NPI 1215236419) is an individual ophthalmology provider in Raleigh, North Carolina, licensed in North Carolina (201401131) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215236419
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PRADEEP METTUCredential: M.D.
Location Address4201 LAKE BOONE TRL STE 103Raleigh, NC 27607
Mailing Address4201 Lake Boone Trl Ste 103Raleigh, NC 27607-7511 · (919) 626-8783 · Fax (844) 456-0925
Fax(844) 456-0925
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 28, 2011
Last NPPES UpdateOctober 1, 20193 updates tracked since enumeration
NPI 1215236419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 201401131
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.

Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License 201401131 (NC)
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 201401131 (NC)
4201 LAKE BOONE TRL STE 103, Raleigh, NC 27607

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. Pradeep Mettu 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 ID8022235423
PECOS Enrollment IDI20140807002631
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
55 services55 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.
41 services41 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.
30 services25 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.
16 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

Ophthalmology
4201 LAKE BOONE TRL STE 103
RALEIGH, NC 27607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215236419, enumerated as an "individual" on March 28, 2011.

The provider is located at 4201 LAKE BOONE TRL STE 103 RALEIGH, NC 27607 and the phone number is (919) 626-8783.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and. Please consult your insurance carrier or call the provider to verify.