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MANAN RAJU SAMPAT
NPI 1336503820
Ophthalmology in Danville, KY

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
1541 LEBANON RD STE 2, DANVILLE, KY 40422(859) 239-4500 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manan Raju Sampat NPPES

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

MANAN RAJU SAMPAT (NPI 1336503820) is an individual ophthalmology provider in Danville, Kentucky, licensed in Kentucky (53516) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336503820
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMANAN RAJU SAMPAT
Location Address1541 LEBANON RD STE 2Danville, KY 40422-8349
Mailing AddressPo Box 990Danville, KY 40423-0990 · (859) 239-2318 · Fax (859) 936-4520
Phone(859) 239-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1336503820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 53516
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.
1541 LEBANON RD STE 2, Danville, KY 40422
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Manan Raju Sampat 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 ID5991036717
PECOS Enrollment IDI20200709003733
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 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.
528 services444 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.
289 services151 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.
242 services213 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.
164 services102 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.
123 services119 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
123 services113 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

79.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.52
Promoting Interoperability100
Improvement Activities40
Cost44.23

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers15 claims15 services$48.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EPHRAIM MCDOWELL HEALTH RESOURCE, INC.
Technician/Technologist (Optician)
1541 LEBANON RD STE 2
DANVILLE, KY 40422
Boyle County (859) 239-4510
DR. DENISE MARIE DOBBINS KOWALIK OD
Optometrist
1541 LEBANON RD STE 2
DANVILLE, KY 40422
Boyle County (859) 239-4500
EPHRAIM MCDOWELL HEALTH RESOURCE, INC.
Ophthalmology
1541 LEBANON RD STE 2
DANVILLE, KY 40422
Boyle County (859) 239-4500

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 Manan Sampat's NPI number?

The NPI number for Manan Sampat is 1336503820. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Manan Sampat located?

Manan Sampat practices at 1541 Lebanon Rd Ste 2, Danville, KY 40422. The listed phone number is (859) 239-4500.

What is Manan Sampat's specialty?

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

Is Manan Sampat enrolled in Medicare?

Yes. Manan Sampat 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 Manan Sampat accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 4 other insurers list Manan Sampat 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 Manan Sampat affiliated with any hospitals?

According to CMS data, Manan Sampat is affiliated with Ephraim Mcdowell Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Manan Sampat was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.