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DR. PRIYANKA P PATEL O.D.
NPI 1285920025
Optometrist in Warrenton, VA

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
251 W LEE HWY, SUITE 632, WARRENTON, VA 20186(540) 428-3937 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Priyanka P Patel O.d. NPPES

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

DR. PRIYANKA P PATEL O.D. (NPI 1285920025) is an individual optometrist in Warrenton, Virginia, licensed in Virginia (0618002050) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285920025
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PRIYANKA P PATELCredential: O.D.
Location Address251 W LEE HWY, SUITE 632Warrenton, VA 20186-2093
Mailing Address251 W Lee Hwy, Suite 632Warrenton, VA 20186-2093 · (540) 428-3937
Phone(540) 428-3937
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1285920025 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 VA · 0618002050
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.
251 W LEE HWY, Warrenton, VA 20186
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Dr. Priyanka P Patel O.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 ID8224280813
PECOS Enrollment IDI20121205000415
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 8

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.
93 services93 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.
75 services51 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.
71 services70 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.
52 services36 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).
42 services33 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20186 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 5

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

TALIB S ALI DMD
Dentist (General Practice)
251 W LEE HWY, STE 197
WARRENTON, VA 20186
Fauquier County (540) 347-9364
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
Optometrist
251 W LEE HWY, SUITE 632
WARRENTON, VA 20186
Fauquier County (540) 428-3937
BASEM BOTROS
Pharmacist
251 W LEE HWY
WARRENTON, VA 20186
Fauquier County (540) 347-3020
JOSEPHINE WELLE PHARMD
Pharmacist
251 W LEE HWY, SUITE 641
WARRENTON, VA 20186
Fauquier County (540) 347-3020
JAMES MICHAEL GAVAGHAN RPH
Pharmacist
251 W LEE HWY
WARRENTON, VA 20186
Fauquier County (540) 349-9867

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 Priyanka Patel's NPI number?

The NPI number for Priyanka Patel is 1285920025. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Priyanka Patel located?

Priyanka Patel practices at 251 W Lee Hwy Suite 632, Warrenton, VA 20186. The listed phone number is (540) 428-3937.

What is Priyanka Patel's specialty?

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

Is Priyanka Patel enrolled in Medicare?

Yes. Priyanka 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 Priyanka Patel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Priyanka 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 Priyanka Patel was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.