PANKTI PATEL OD
NPI 1235915471
Optometrist in Wilmington, NC
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Pankti Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 6 clinicians in this Medicare group
Wilmington, NC 28405
- Reassigned Medicare billing, North Carolina enrollment
- 259 clinicians in this Medicare group
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
WILMINGTON, NC 28403
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.
Which organizations bill Medicare for Pankti Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pankti Patel reassigns Medicare benefits to 3 organizations: Edward L. Paul, Jr., O.D., Ph.D., P.A. (Wilmington, NC), Myeyedr Optometry Of North Carolina, PLLC (Wilmington, NC) and Duke Health Integrated Practice, Inc (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pankti Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pankti Patel accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc and 1 other insurer 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.
# Pankti Patel, OD · NPI 1235915471
Optometrist provider in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since September 5, 2023.
## Identity
- **NPI:** 1235915471 (Entity type: Individual)
- **Enumerated:** September 5, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2765 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1613 MILITARY CUTOFF RD STE 230, Wilmington, NC 28403-5745
- **Phone:** (910) 256-6364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Edward L. Paul, Jr., O.D., Ph.D., P.A. (NPI 1225231756, Wilmington, NC); Myeyedr Optometry Of North Carolina, PLLC (NPI 1942603121, Wilmington, NC); Duke Health Integrated Practice, Inc (NPI 1780374884, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 7, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1235915471) · Data from the CMS NPPES public registry.