DR. AMIT TODANI M.D.
NPI 1295969848
Ophthalmology in Plainville, MA

Active since May 12, 2009PECOS EnrolledAccepts Medicare Assignment
80.94/100
CMS Quality Rating
30 MAN MAR DR STE 6, PLAINVILLE, MA 02762(774) 430-2020(774) 430-2021 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 16, 2026, Feb 4, 2019, Jan 10, 2019 (3 updates tracked since 2019).

About Dr. Amit Todani M.d. NPPES

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

DR. AMIT TODANI M.D. (NPI 1295969848) is an individual ophthalmology provider in Plainville, Massachusetts, licensed in Massachusetts (265225) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and maintains a secondary practice location in Attleboro.

NPPES Registry Identity

NPI1295969848
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. AMIT TODANICredential: M.D.
Location Address30 MAN MAR DR STE 6Plainville, MA 02762-2271
Mailing Address30 Man Mar Dr Ste 6Plainville, MA 02762-2271 · (774) 430-2020 · Fax (774) 430-2021
Fax(774) 430-2021
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 12, 2009
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1295969848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 265225
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.
30 MAN MAR DR STE 6, Plainville, MA 02762

Secondary Practice Location 1

Location 1160 Pleasant StAttleboro, MA 02703-2443 · Phone (774) 430-2020 · Fax (774) 430-2021

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. Amit Todani 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 ID8426298340
PECOS Enrollment IDI20160627001686
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 17

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.

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.
274 services148 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.
224 services130 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.
221 services130 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
173 services137 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
162 services17 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.
153 services153 patients

Hospital Affiliations CMS Care Compare 2

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02762 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

80.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost36.49

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.

Ophthalmology
30 MAN MAR DR STE 6
PLAINVILLE, MA 02762
Ophthalmology
30 MAN MAR DR STE 6
PLAINVILLE, MA 02762
Clinic/Center (Ambulatory Surgical)
30 MAN MAR DR STE 6
PLAINVILLE, MA 02762

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 Amit Todani's NPI number?

The NPI number for Amit Todani is 1295969848. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Amit Todani located?

Amit Todani practices at 30 Man Mar Dr Ste 6, Plainville, MA 02762. The listed phone number is (774) 430-2020.

What is Amit Todani's specialty?

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

Is Amit Todani enrolled in Medicare?

Yes. Amit Todani 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 Amit Todani accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Amit Todani 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 Amit Todani affiliated with any hospitals?

According to CMS data, Amit Todani is affiliated with Sturdy Memorial Hospital and Saint Anne's Hospital.

When was this NPI record last updated?

The NPPES record for Amit Todani was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.