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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Milan Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forsyth Eye Surgery Center, LLC
Same address
Ambulatory Surgical
1034 HAW CREEK CIRCLE, SUITE 200
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1649746090 (678) 381-2020
Milan Eye LLC
Same address
Ophthalmology
1034 HAW CREEK CIR STE 100
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1932332459 (678) 381-2020
Buford Eye Surgery Center
11 mi
Ambulatory Surgical
1995 MALL OF GEORGIA BLVD, SUITE A
Buford, GA 30519
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1609285386 (678) 381-2020
Snellville Eye Surgery Center LLC
20 mi
Ambulatory Surgical
1250 SCENIC HWY STE 1600
Lawrenceville, GA 30045
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1336614866 (678) 381-2020
Canton Eye Surgery Center
20 mi
Ambulatory Surgical
201 KIMBERLY WAY STE 104
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 21 clinicians in this Medicare group
NPI 1992122329 (678) 381-2020
Roswell Eye Surgery Center, LLC
22 mi
Ambulatory Surgical
3775 ROSWELL RD STE 175
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
NPI 1780075861 (678) 381-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality100
Promoting Interoperability95
Improvement Activities40
Cost29.42

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.

DR. CLAIRE ALEXANDER VINSON OD
Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Forsyth County (678) 737-4616
DR. NIRAJ N. DESAI M.D.
Ophthalmology
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Forsyth County (678) 381-2020
REINA GARRETT OD
Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Forsyth County (678) 737-4616
DR. SAMIR VIRA M.D.
Ophthalmology
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Forsyth County (678) 381-2020
WILLIAM C BONNER OD
Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Forsyth County (678) 737-4616
JONATHAN GEELOUNG YIN OD
Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Forsyth County (678) 737-4616
MILAN EYE LLC
Ophthalmology
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Forsyth County (678) 381-2020

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 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.

Where is Milan Patel located?

Milan Patel practices at 1034 Haw Creek Cir Ste 100, Cumming, GA 30041. The listed phone number is (678) 381-2020.

What is Milan Patel's specialty?

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

Is Milan Patel enrolled in Medicare?

Yes. Milan 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.

Which organizations bill Medicare for Milan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milan Patel reassigns Medicare benefits to 6 organizations: Forsyth Eye Surgery Center, LLC (Cumming, GA), Milan Eye LLC (Cumming, GA), Buford Eye Surgery Center (Buford, GA), Snellville Eye Surgery Center LLC (Lawrenceville, GA), Canton Eye Surgery Center (Canton, GA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Milan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Milan Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Milan 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 Milan Patel was last updated on November 10, 2023. 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.