NIKHIL DEEP BANSAL OD
NPI 1215538061
Optometrist in Philadelphia, PA

Active since November 06, 2020PECOS EnrolledAccepts Medicare Assignment
75.96/100
CMS Quality Rating
1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Sep 13, 2021, Nov 6, 2020 (3 updates tracked since 2020).

About Nikhil Deep Bansal Od NPPES

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

NIKHIL DEEP BANSAL OD (NPI 1215538061) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG003834) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2020).

NPPES Registry Identity

NPI1215538061
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNIKHIL DEEP BANSALCredential: OD
Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323
Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6000 · Fax (215) 276-1329
Fax(215) 276-1329
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2020
Enumeration DateNovember 6, 2020
Last NPPES UpdateApril 25, 20243 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
NPI 1215538061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG003834
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1200 W GODFREY AVE, Philadelphia, PA 19141

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Nikhil Deep Bansal Od 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 ID9234537242
PECOS Enrollment IDI20211006000030
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 3

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 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.
306 services279 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.
29 services29 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

75.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.09
Promoting Interoperability100
Improvement Activities20
Cost49.77

Other Providers at the Same Location NPPES 20

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

Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Occupational Therapist
1200 W GODFREY AVE, ADMINISTRATION SUITE
PHILADELPHIA, PA 19141

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 Nikhil Bansal's NPI number?

The NPI number for Nikhil Bansal is 1215538061. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Nikhil Bansal located?

Nikhil Bansal practices at 1200 W Godfrey Ave, Philadelphia, PA 19141. The listed phone number is (215) 276-6000.

What is Nikhil Bansal's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nikhil Bansal enrolled in Medicare?

Yes. Nikhil Bansal 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 Nikhil Bansal accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Nikhil Bansal 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 Nikhil Bansal was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.