DIANA TAMBOLI M.D.
NPI 1346534146
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Oklahoma City, OK

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment
87.34/100
CMS Quality Rating
9821 S MAY AVE # C, OKLAHOMA CITY, OK 73159(405) 708-7876 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2024, Jan 17, 2017 (2 updates tracked since 2017).

About Diana Tamboli M.d. NPPES

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

DIANA TAMBOLI M.D. (NPI 1346534146) is an individual ophthalmic plastic and reconstructive surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (32188) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1346534146
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameDIANA TAMBOLICredential: M.D.
Location Address9821 S MAY AVE # COklahoma City, OK 73159-7042
Mailing Address7316 N Western AveOklahoma City, OK 73116-7120 · (405) 708-7876
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011
Enumeration DateJune 9, 2011
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1346534146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in OK · 32188
Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License Q3979 (TX), 125061038 (IL)
9821 S MAY AVE # C, Oklahoma City, OK 73159

Secondary Practice Location 1

Location 17316 N Western AveOklahoma City, OK 73116-7120 · Phone (405) 708-7876

Other Identifiers 1

Medicaid200653870AOK

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

Diana Tamboli 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 ID2567783095
PECOS Enrollment IDI20160601001977
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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
325 services292 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.
235 services235 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
213 services203 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
91 services91 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.
36 services27 patients
Shortening or advancement of upper eyelid muscle to correct drooping or paralysis 67903
This procedure involves adjusting the muscle in your upper eyelid to correct drooping or paralysis. The muscle may be shortened or advanced to help lift the eyelid to a better position. This can improve vision and give a more alert appearance. It's typically an outpatient procedure.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Summit Medical Center, LLC

Acute Care Hospitals · Edmond, OK
OwnershipPhysician
CMS Certification Number370225
Location1800 South Renaissance BoulevardEdmond, OK 73013 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73159 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

87.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.53
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%450 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%798 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%747 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 300 patients
Patients screened: 100% · 300 patients
100%36 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
93%924 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Diana Tamboli's NPI number?

The NPI number for Diana Tamboli is 1346534146. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Diana Tamboli located?

Diana Tamboli practices at 9821 S May Ave # C, Oklahoma City, OK 73159. The listed phone number is (405) 708-7876.

What is Diana Tamboli's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Diana Tamboli enrolled in Medicare?

Yes. Diana Tamboli 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 Diana Tamboli accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Diana Tamboli 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 Diana Tamboli affiliated with any hospitals?

According to CMS data, Diana Tamboli is affiliated with O U Medical Center and Summit Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Diana Tamboli was last updated on December 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.