Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRAKSHA BUTALA OD
NPI 1447873260
Optometrist in Succasunna, NJ

Active since May 27, 2020PECOS Enrolled
157 ROUTE 10 E, SUCCASUNNA, NJ 07876(973) 927-7717 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2026, Jun 1, 2026, May 27, 2020 (3 updates tracked since 2020).

About Praksha Butala Od NPPES

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

PRAKSHA BUTALA OD (NPI 1447873260) is an individual optometrist in Succasunna, New Jersey, licensed in New Jersey (27OA00726600) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).

NPPES Registry Identity

NPI1447873260
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePRAKSHA BUTALACredential: OD
Location Address157 ROUTE 10 ESuccasunna, NJ 07876-1431
Mailing Address7 Ser Del DrParsippany, NJ 07054-2235
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015
Enumeration DateMay 27, 2020
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1447873260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00726600✔ Licensed in MI · 4901005948✔ Licensed in MD · TA3148✔ Licensed in NJ · 27OM00194000
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
157 ROUTE 10 E, Succasunna, NJ 07876

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Praksha Butala Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466877543
PECOS Enrollment IDI20260615000548, I20260629000249, I20260808000437, I20260820004153
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

4

Medicare enrollment records show Praksha Butala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1255 BROAD ST
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 64 clinicians in this Medicare group
Optometrist
360 E PULASKI HWY, 1B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1467843516 (District of Columbia)
  • 253 clinicians in this Medicare group
Optometrist
6427 BALTIMORE PIKE, A
Catonsville, MD 21228
  • Reassigned Medicare billing, Maryland and Michigan enrollments
  • Also billed through NPI 1366822991 (Michigan)
  • 54 clinicians in this Medicare group
Optometrist
2921 ERIE BLVD E
Syracuse, NY 13224
  • Reassigned Medicare billing, New York enrollment
  • 243 clinicians in this Medicare group

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

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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07876 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Praksha Butala's NPI number?

The NPI number for Praksha Butala is 1447873260. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Praksha Butala located?

Praksha Butala practices at 157 Route 10 E, Succasunna, NJ 07876. The listed phone number is (973) 927-7717.

What is Praksha Butala's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Praksha Butala enrolled in Medicare?

Yes. Praksha Butala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Praksha Butala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praksha Butala reassigns Medicare benefits to 4 organizations: Charles M. Cummins, Od., PA (Bloomfield, NJ), Myeyedr Optometry Of Maryland, LLC (Elkton, MD), Visionworks, Inc. (Catonsville, MD) and Empire Vision Center Inc (Syracuse, NY). 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 Praksha Butala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praksha Butala accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Praksha Butala 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 Praksha Butala was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.