DR. VISHAL PATEL MD
NPI 1457845919
Ophthalmology - Glaucoma Specialist in Plano, TX

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
9955 GILLESPIE DR STE 100, PLANO, TX 75025(972) 403-1110(972) 403-1153 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2025, Jan 25, 2022, Nov 19, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Vishal Patel Md NPPES

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

DR. VISHAL PATEL MD (NPI 1457845919) is an individual glaucoma specialist in Plano, Texas, licensed in Texas (V7614) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Rutgers, Robert Woood Johnson Medical School (2018).

NPPES Registry Identity

NPI1457845919
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameDR. VISHAL PATELCredential: MD
Location Address9955 GILLESPIE DR STE 100Plano, TX 75025-7533
Mailing Address9955 Gillespie Dr Ste 100Plano, TX 75025-7533 · (972) 403-1110 · Fax (972) 403-1153
Fax(972) 403-1153
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2018
Enumeration DateJune 19, 2018
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1457845919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
Licenses Licensed in TX · V7614 Licensed in NJ · 25MA11711100 Licensed in PA · MD479761
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
9955 GILLESPIE DR STE 100, Plano, TX 75025

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. Vishal Patel 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 ID7214367705
PECOS Enrollment IDI20250609002057
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 16

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
307 services230 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
263 services245 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.
148 services148 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.
124 services81 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
103 services97 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
96 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75025 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

Optometrist
9955 GILLESPIE DR STE 100
PLANO, TX 75025
Ophthalmology
9955 GILLESPIE DR STE 100
PLANO, TX 75025
Ophthalmology
9955 GILLESPIE DR STE 100
PLANO, TX 75025
Nurse Anesthetist, Certified Registered
9955 GILLESPIE DR STE 100
PLANO, TX 75025

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 Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1457845919. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Vishal Patel located?

Vishal Patel practices at 9955 Gillespie Dr Ste 100, Plano, TX 75025. The listed phone number is (972) 403-1110.

What is Vishal Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Vishal Patel enrolled in Medicare?

Yes. Vishal 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.

What insurance does Vishal Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Blue Cross and Blue Shield of Texas list Vishal 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 Vishal Patel was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.