DR. ASHVANI K GULATI M.D.
NPI 1245228642
Ophthalmology in Kenmore, NY

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
89.17/100
CMS Quality Rating
BUFFALO EYE CENTER, 3750 DELAWARE AVE, KENMORE, NY 14217(716) 874-2455(716) 874-5775 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2022, May 26, 2020 (2 updates tracked since 2020).

About Dr. Ashvani K Gulati M.d. NPPES

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

DR. ASHVANI K GULATI M.D. (NPI 1245228642) is an individual ophthalmology provider in Kenmore, New York, licensed in New York (180207) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1987).

NPPES Registry Identity

NPI1245228642
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ASHVANI K GULATICredential: M.D.
Location AddressBUFFALO EYE CENTER, 3750 DELAWARE AVEKenmore, NY 14217-1002
Mailing AddressBuffalo Eye Center, 3750 Delaware AveKenmore, NY 14217-1002 · (716) 874-2455 · Fax (716) 874-5775
Fax(716) 874-5775
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1987
Enumeration DateOctober 10, 2005
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1245228642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 180207
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.
BUFFALO EYE CENTER, Kenmore, NY 14217

Other Identifiers 2

Other161003886NY · Tax Id
Medicaid01241950NY

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. Ashvani K Gulati 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 ID5597947739
PECOS Enrollment IDI20110310000034
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 15

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.
417 services413 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
217 services158 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
102 services102 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.
102 services81 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).
77 services77 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
69 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

89.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.41
Improvement Activities40
Cost64.56

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
84%432 patients1/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
99%242 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
70%688 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
99%1,014 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
84%97 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
92%6,722 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,390 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%3,474 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,679 patients
Patients screened: 100% · 1,679 patients
85%139 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
98%281 patients
Tobacco Use and Help with Quitting Among Adolescents
100%58 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,894 patients
Patients totalRate: 0% · 2,894 patients
0%2,894 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.

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 Ashvani Gulati's NPI number?

The NPI number for Ashvani Gulati is 1245228642. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Ashvani Gulati located?

Ashvani Gulati practices at Buffalo Eye Center 3750 Delaware Ave, Kenmore, NY 14217. The listed phone number is (716) 874-2455.

What is Ashvani Gulati's specialty?

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

Is Ashvani Gulati enrolled in Medicare?

Yes. Ashvani Gulati 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 Ashvani Gulati 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 1 other insurer list Ashvani Gulati 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 Ashvani Gulati was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.