DR. RANJAN PRAKASH MALHOTRA MD
NPI 1396743555
Ophthalmology in Saint Louis, MO

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
75.65/100
CMS Quality Rating
12990 MANCHESTER RD, STE 200, SAINT LOUIS, MO 63131(314) 966-5000(314) 909-6666 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ranjan Prakash Malhotra Md NPPES

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

DR. RANJAN PRAKASH MALHOTRA MD (NPI 1396743555) is an individual ophthalmology provider in Saint Louis, Missouri, licensed in Missouri (2000149845) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1995).

NPPES Registry Identity

NPI1396743555
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RANJAN PRAKASH MALHOTRACredential: MD
Location Address12990 MANCHESTER RD, STE 200Saint Louis, MO 63131-1860
Mailing Address12990 Manchester Rd, Ste 200Saint Louis, MO 63131-1860 · (314) 966-5000 · Fax (314) 909-6666
Fax(314) 909-6666
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1995
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 30, 2015
NPI 1396743555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MO · 2000149845
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.
12990 MANCHESTER RD, Saint Louis, MO 63131

Other Identifiers 1

Medicare UPING46103

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. Ranjan Prakash Malhotra Md 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 ID143325126
PECOS Enrollment IDI20100802001010
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 20

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
504 services237 patients
Injection, bimatoprost, intracameral implant, 1 microgram J7351
This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.
450 services23 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.
312 services212 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
182 services179 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.
167 services167 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.
115 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

75.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability89
Improvement Activities40
Cost28.06

Other Providers at the Same Location NPPES 18

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

Ophthalmology
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
Ophthalmology
12990 MANCHESTER RD, SUITE 202
ST LOUIS, MO 63131
Nurse Anesthetist, Certified Registered
12990 MANCHESTER RD
DES PERES, MO 63131
Surgery (Plastic and Reconstructive Surgery)
12990 MANCHESTER RD, STE 102
SAINT LOUIS, MO 63131
Optometrist
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
Optometrist
12990 MANCHESTER RD, SUITE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
Clinic/Center (Endoscopy)
12990 MANCHESTER RD, SUITE 1
DES PERES, MO 63131

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 Ranjan Malhotra's NPI number?

The NPI number for Ranjan Malhotra is 1396743555. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Ranjan Malhotra located?

Ranjan Malhotra practices at 12990 Manchester Rd Ste 200, Saint Louis, MO 63131. The listed phone number is (314) 966-5000.

What is Ranjan Malhotra's specialty?

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

Is Ranjan Malhotra enrolled in Medicare?

Yes. Ranjan Malhotra 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 Ranjan Malhotra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Ranjan Malhotra 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 Ranjan Malhotra was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.