ADITYA BANSAL MD
NPI 1457137614
Ophthalmology - Retina Specialist in Lexington, KY

Q: What is Aditya Bansal's NPI number?

The NPI number for Aditya Bansal is 1457137614. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is Aditya Bansal's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Aditya Bansal was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 05, 2023PECOS EnrolledAccepts Medicare Assignment

110 CONN TER STE 550, LEXINGTON, KY 40508(859) 323-5867(859) 323-8510 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Aditya Bansal Md NPPES

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

ADITYA BANSAL MD (NPI 1457137614) is an individual retina specialist in Lexington, Kentucky, licensed in Kentucky (FL071) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1457137614

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameADITYA BANSALCredential: MD

Location Address110 CONN TER STE 550Lexington, KY 40508-3206

Mailing Address110 Conn Ter Ste 550Lexington, KY 40508-3206 · (859) 218-2641

Phone(859) 323-5867

Fax(859) 323-8510

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 5, 2023

Last NPPES UpdateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1457137614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in KY · FL071

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License FL071 (KY)

110 CONN TER STE 550, Lexington, KY 40508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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

Aditya Bansal 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 ID3971958745

PECOS Enrollment IDI20231013002245

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

Medicare enrollment records show Aditya Bansal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky

0.2 mi

Family

UK COLLEGE OF DENTISTRY, 770 ROSE STREET, MN328
Lexington, KY 40536

Reassigned Medicare billing, Kentucky enrollment
1,761 clinicians in this Medicare group

NPI 1215449590 (859) 323-3368

Kentucky Medical Services Foundation, Inc

3.6 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

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 15

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

3,060 services20 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

853 services366 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

419 services106 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

391 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

377 services234 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.

226 services151 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

192 services63 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

69 services44 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.

55 services55 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

17 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

12 services11 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 20

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

SHADEN HAMDY FATHY YASSIN MD

Ophthalmology (Retina Specialist)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

KAREN SANTOS MCCLOUD OD

Optometrist

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

DR. PETER JOHN TIMONEY MBBCH

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

DR. CLAIRE ELIZABETH FRASER M.D., PH.D.

Ophthalmology (Retina Specialist)

110 CONN TER STE 550, UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
LEXINGTON, KY 40508

Fayette County (859) 323-5867

MANOKAMNA AGARWAL MD

Ophthalmology (Cornea and External Diseases Specialist)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

ELIZABETH GAMMELTOFT MD

Student in an Organized Health Care Education/Training Program

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 218-2631

MATTHEW PFANNENSTIEL MD

Ophthalmology

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

AMANDA LIMBAUGH MARZOLF M.D.

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

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 Aditya Bansal's NPI number?

The NPI number for Aditya Bansal is 1457137614. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Aditya Bansal located?

Aditya Bansal practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 323-5867.

What is Aditya Bansal's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Aditya Bansal enrolled in Medicare?

Yes. Aditya Bansal 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 Aditya Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Bansal reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Aditya Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aditya Bansal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Aditya Bansal 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.

Is Aditya Bansal affiliated with any hospitals?

According to CMS data, Aditya Bansal is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Aditya Bansal was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.