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PANKTI PATEL OD
NPI 1235915471
Optometrist in Wilmington, NC

Active since September 05, 2023PECOS EnrolledAccepts Medicare Assignment
1613 MILITARY CUTOFF RD STE 230, WILMINGTON, NC 28403(910) 256-6364 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2023, Sep 5, 2023 (2 updates tracked since 2023).

About Pankti Patel Od NPPES

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

PANKTI PATEL OD (NPI 1235915471) is an individual optometrist in Wilmington, North Carolina, licensed in North Carolina (2765) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235915471
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePANKTI PATELCredential: OD
Location Address1613 MILITARY CUTOFF RD STE 230Wilmington, NC 28403-5745
Mailing Address305 Montelena PlCary, NC 27513-8456 · (919) 559-2450
Phone(910) 256-6364
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 5, 2023
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1235915471 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 NC · 2765
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.
1613 MILITARY CUTOFF RD STE 230, Wilmington, NC 28403
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Secondary Practice Location 1

Location 15619 Carolina Beach Rd Ste 110Wilmington, NC 28412-2814 · Phone (910) 790-0212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Pankti Patel 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 ID8123473931
PECOS Enrollment IDI20231016000015
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 7

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
218 services188 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.
135 services110 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.
88 services74 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
79 services79 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.
66 services58 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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 3

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

DR. EDWARD LEE PAUL JR. O.D., PH.D.
Optometrist
1613 MILITARY CUTOFF RD STE 230
WILMINGTON, NC 28403
New Hanover County (910) 256-6364
EDWARD L. PAUL, JR., O.D., PH.D., P.A.
Optometrist
1613 MILITARY CUTOFF RD STE 230
WILMINGTON, NC 28403
New Hanover County (910) 256-6364
DR. BENJAMIN MCCRAY TAYLOR OD
Optometrist
1613 MILITARY CUTOFF RD STE 230
WILMINGTON, NC 28403
New Hanover County (910) 256-6364

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 Pankti Patel's NPI number?

The NPI number for Pankti Patel is 1235915471. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Pankti Patel located?

Pankti Patel practices at 1613 Military Cutoff Rd Ste 230, Wilmington, NC 28403. The listed phone number is (910) 256-6364.

What is Pankti Patel's specialty?

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

Is Pankti Patel enrolled in Medicare?

Yes. Pankti 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 Pankti Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 7 other insurers list Pankti 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 Pankti Patel was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.