DR. MILAN RAMESH PATEL M.D.
NPI 1396789079
Ophthalmology in Cumming, GA

Q: What is Milan Patel's NPI number?

The NPI number for Milan Patel is 1396789079. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Milan Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Milan Patel was last updated on November 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment

77.57/100

CMS Quality Rating

1034 HAW CREEK CIR STE 100, CUMMING, GA 30041(678) 381-2020(678) 381-2015 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2023, Jan 30, 2023, Jan 23, 2020 (3 updates tracked since 2020).

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About Dr. Milan Ramesh Patel M.d. NPPES

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

DR. MILAN RAMESH PATEL M.D. (NPI 1396789079) is an individual ophthalmology provider in Cumming, Georgia, licensed in Georgia (A91719) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2001).

NPPES Registry Identity

NPI1396789079

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MILAN RAMESH PATELCredential: M.D.

Location Address1034 HAW CREEK CIR STE 100Cumming, GA 30041-6513

Mailing Address1300 Peachtree Industrial Blvd Ste 1201Suwanee, GA 30024-4550 · (678) 381-2020

Phone(678) 381-2020

Fax(678) 381-2015

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2001

Enumeration DateJune 15, 2006

Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1396789079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in GA · A91719

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.

1034 HAW CREEK CIR STE 100, Cumming, GA 30041

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Other Identifiers 2

Medicaid00A917190CA

Medicaid236443588BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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

Dr. Milan Ramesh Patel 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 ID9931145463

PECOS Enrollment IDI20080618000509

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 10

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.

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.

426 services282 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.

366 services204 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.

156 services156 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.

135 services132 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

105 services80 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

97 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

77.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

29.42

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Other Providers at the Same Location NPPES 7

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

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