POOJA KHATOR M.D.
NPI 1376592741
Ophthalmology in Bradenton, FL

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
217 MANATEE AVE E, BRADENTON, FL 34208(941) 748-1818(941) 746-1055 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pooja Khator M.d. NPPES

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

POOJA KHATOR M.D. (NPI 1376592741) is an individual ophthalmology provider in Bradenton, Florida, licensed in Florida (ME93105) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2001).

NPPES Registry Identity

NPI1376592741
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NamePOOJA KHATORCredential: M.D.
Location Address217 MANATEE AVE EBradenton, FL 34208-1931
Mailing Address217 Manatee Ave EBradenton, FL 34208-1931 · (941) 748-1818 · Fax (941) 746-1055
Fax(941) 746-1055
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2001
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 4, 2008
NPI 1376592741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME93105
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.

217 MANATEE AVE E, Bradenton, FL 34208

Other Identifiers 2

Medicare PIN16633ZFL
Medicare UPINI40743

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

Pooja Khator 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 ID4385678028
PECOS Enrollment IDI20050922000563
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 22

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 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.
1,639 services799 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).
755 services668 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.
667 services531 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.
650 services640 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.
208 services134 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.
174 services109 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%255 patients
Diabetes: Eye Exam
100%257 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
93%1,670 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,175 patients
Patients totalRate: 0% · 2,175 patients
0%2,175 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers19 claims19 services$54.02 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims17 services$48.08 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 11

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

Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208
Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208
Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208
Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208
Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208
Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208
Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208
Ophthalmology
217 MANATEE AVE E
BRADENTON, FL 34208

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 Pooja Khator's NPI number?

The NPI number for Pooja Khator is 1376592741. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Pooja Khator located?

Pooja Khator practices at 217 Manatee Ave E, Bradenton, FL 34208. The listed phone number is (941) 748-1818.

What is Pooja Khator's specialty?

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

Is Pooja Khator enrolled in Medicare?

Yes. Pooja Khator 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 Pooja Khator accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pooja Khator 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 Pooja Khator was last updated on February 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.