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SHETAL PATEL OD
NPI 1336792290
Optometrist in Orlando, FL

Active since July 19, 2019PECOS EnrolledAccepts Medicare Assignment
85.06/100
CMS Quality Rating
1911 N MILLS AVE, ORLANDO, FL 32803(407) 893-8200(407) 893-8210 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Jul 19, 2019 (2 updates tracked since 2019).

About Shetal Patel Od NPPES

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

SHETAL PATEL OD (NPI 1336792290) is an individual optometrist in Orlando, Florida, licensed in Florida (OPC5717) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clermont, and is a graduate of Pennsylvania College Of Optometry (2019).

NPPES Registry Identity

NPI1336792290
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHETAL PATELCredential: OD
Location Address1911 N MILLS AVEOrlando, FL 32803-1407
Mailing Address1911 N Mills AveOrlando, FL 32803-1407 · (407) 893-8200 · Fax (407) 893-8210
Phone(407) 893-8200
Fax(407) 893-8210
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2019
Enumeration DateJuly 19, 2019
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1336792290 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 FL · OPC5717
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.
1911 N MILLS AVE, Orlando, FL 32803
Open in Google Maps ↗

Secondary Practice Location 1

Location 13140 Citrus Tower Blvd Bldg 11Clermont, FL 34711-6888 · Phone (352) 243-2121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Shetal Patel 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 ID1052744240
PECOS Enrollment IDI20191202000832
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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.

85.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.2
Promoting Interoperability100
Improvement Activities40
Cost51.02

Other Providers at the Same Location NPPES 11

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

SARINA MAHESH AMIN M.D.
Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200
IVAN TARLE MD
Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200
MICHAEL E POHLOD MD
Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200
JOHN T LEHR MD
Ophthalmology (Retina Specialist)
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200
ADANNA UDEH MD
Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200
CELIA E. GRAHAM RD
Dietitian, Registered
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200
DR. WILLIAM STEPHEN MAIORANO O.D.
Optometrist
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200
DONALD J CENTNER MD
Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 893-8200

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 Shetal Patel's NPI number?

The NPI number for Shetal Patel is 1336792290. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Shetal Patel located?

Shetal Patel practices at 1911 N Mills Ave, Orlando, FL 32803. The listed phone number is (407) 893-8200.

What is Shetal Patel's specialty?

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

Is Shetal Patel enrolled in Medicare?

Yes. Shetal 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 Shetal Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 10 other insurers list Shetal 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 Shetal Patel was last updated on June 27, 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.