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DR. AVANI SIDDHAPURA OD
NPI 1295347268
Optometrist in Williamsburg, VA

Active since August 20, 2020PECOS EnrolledAccepts Medicare Assignment
75.67/100
CMS Quality Rating
4640 MONTICELLO AVE STE 8A, WILLIAMSBURG, VA 23188(757) 645-3930 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Nov 17, 2022, Dec 7, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Avani Siddhapura Od NPPES

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

DR. AVANI SIDDHAPURA OD (NPI 1295347268) is an individual optometrist in Williamsburg, Virginia, licensed in Virginia (0620000054) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2020).

NPPES Registry Identity

NPI1295347268
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AVANI SIDDHAPURACredential: OD
Location Address4640 MONTICELLO AVE STE 8AWilliamsburg, VA 23188-8230
Mailing Address4640 Monticello Ave Ste 8aWilliamsburg, VA 23188-8230 · (757) 645-3930
Phone(757) 645-3930
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2020
Enumeration DateAugust 20, 2020
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1295347268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in VA · 0620000054✔ Licensed in NJ · 27OA00697700✔ Licensed in NY · TUV009226-01
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.
4640 MONTICELLO AVE STE 8A, Williamsburg, VA 23188
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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 Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Avani Siddhapura 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 ID8820400336
PECOS Enrollment IDI20250211001994
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.
330 services314 patients
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.
313 services294 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.
178 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.
71 services66 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).
41 services41 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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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.

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.

75.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost18.93

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.

20-20 EYECARE OF VIRGINIA INC
Optometrist
4640 MONTICELLO AVE STE 8A
WILLIAMSBURG, VA 23188
James City County (757) 258-1020
OPTIVIEW FAMILY EYECARE PLLC
Optometrist
4640 MONTICELLO AVE STE 8A
WILLIAMSBURG, VA 23188
James City County (757) 645-3930

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 Avani Siddhapura's NPI number?

The NPI number for Avani Siddhapura is 1295347268. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Avani Siddhapura located?

Avani Siddhapura practices at 4640 Monticello Ave Ste 8A, Williamsburg, VA 23188. The listed phone number is (757) 645-3930.

What is Avani Siddhapura's specialty?

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

Is Avani Siddhapura enrolled in Medicare?

Yes. Avani Siddhapura 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 Avani Siddhapura 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 Avani Siddhapura 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 Avani Siddhapura was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.