CHIRAG J PATEL M.D.
NPI 1245482439
Ophthalmology in Orlando, FL

Active since October 21, 2008PECOS EnrolledAccepts Medicare Assignment
81.46/100
CMS Quality Rating
6718 LAKE NONA BLVD STE 140, ORLANDO, FL 32827(407) 857-3937(407) 392-0420 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chirag J Patel M.d. NPPES

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

CHIRAG J PATEL M.D. (NPI 1245482439) is an individual ophthalmology provider in Orlando, Florida, licensed in Florida (ME111106) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Florida College Of Medicine (2007).

NPPES Registry Identity

NPI1245482439
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameCHIRAG J PATELCredential: M.D.
Location Address6718 LAKE NONA BLVD STE 140Orlando, FL 32827-7984
Mailing Address6718 Lake Nona Blvd Ste 140Orlando, FL 32827-7984 · (407) 857-3937 · Fax (407) 392-0420
Fax(407) 392-0420
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2007
Enumeration DateOctober 21, 2008
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1245482439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME111106
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.
6718 LAKE NONA BLVD STE 140, Orlando, FL 32827

Other Identifiers 3

Medicaid003114364AGA
Other14H9BFL · Bcbsfl
Medicaid004139800FL

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

Chirag J Patel 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 ID6800069071
PECOS Enrollment IDI20111103000350
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 14

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.
474 services415 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.
440 services293 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).
215 services174 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
177 services99 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.
177 services134 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
175 services169 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32827 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

81.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.84
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
24%533 patients1/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
92%128 patients2/55-star benchmark: 100%
Controlling High Blood Pressure
0%115 patients1/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%95 patients5/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
11%5,443 patients1/55-star benchmark: 100%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
0%317 patients1/55-star benchmark: 98%
Patient-Centered Surgical Risk Assessment and Communication
0%42 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%1,285 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%4,589 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 38% · 1,279 patients
Patients screened: 40% · 1,279 patients
0%32 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 44% · 313 patients
Patients screened: 58% · 313 patients
0%42 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
92%309 patients
Provide Patients Electronic Access to Their Health Information
99%3,929 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
57%69 patients1/55-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.

Other Providers at the Same Location NPPES 2

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

Ophthalmology
6718 LAKE NONA BLVD STE 140
ORLANDO, FL 32827
Optometrist
6718 LAKE NONA BLVD STE 140
ORLANDO, FL 32827

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 Chirag Patel's NPI number?

The NPI number for Chirag Patel is 1245482439. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Chirag Patel located?

Chirag Patel practices at 6718 Lake Nona Blvd Ste 140, Orlando, FL 32827. The listed phone number is (407) 857-3937.

What is Chirag Patel's specialty?

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

Is Chirag Patel enrolled in Medicare?

Yes. Chirag 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 Chirag Patel accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Molina Healthcare and Oscar Health Maintenance Organization of Florida list Chirag 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.

Is Chirag Patel affiliated with any hospitals?

According to CMS data, Chirag Patel is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Chirag Patel was last updated on January 24, 2024. 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.