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DR. BIJAL SURESH PATEL O.D.
NPI 1497194344
Optometrist in Springfield, NJ

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
155 MORRIS AVE, SUITE 302, SPRINGFIELD, NJ 07081(973) 232-6900 Get Directions Write a Review

NPPES record last updated: December 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bijal Suresh Patel O.d. NPPES

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

DR. BIJAL SURESH PATEL O.D. (NPI 1497194344) is an individual optometrist in Springfield, New Jersey, licensed in New Jersey (27OA00646600) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2013).

NPPES Registry Identity

NPI1497194344
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BIJAL SURESH PATELCredential: O.D.
Location Address155 MORRIS AVE, SUITE 302Springfield, NJ 07081-1225
Mailing Address226 Robbinwood TerLinden, NJ 07036-3731
Phone(973) 232-6900
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateDecember 24, 2014
✔ NPI 1497194344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00646600
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.
155 MORRIS AVE, Springfield, NJ 07081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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. Bijal Suresh Patel O.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 ID3971747122
PECOS Enrollment IDI20130910000567
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 Reassignment

Medicare enrollment records show Bijal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Corey M. Notis, M.D., P.A.
Same address
Ophthalmology
155 MORRIS AVE, SUITE 302
Springfield, NJ 07081
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1568505881 (973) 232-6900

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 8

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.

Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
34 services33 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.
30 services27 patients
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.
29 services23 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.
28 services25 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).
24 services23 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07081 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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.08

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
71%28 patients3/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%28 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%41 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%558 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%55 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%299 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%724 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 93% · 148 patients
97%148 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%724 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
58%724 patients3/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 43 patients
0%43 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

ELIZABETH SURGICAL GROUP LLC
Surgery
155 MORRIS AVE, SECIND FLOOR
SPRINGFIELD, NJ 07081
Union County (973) 232-2300
DR. GINI SELENA BELTRAN OD
Optometrist
155 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 232-6900
DANIELLE FITZGERALD LSW
Social Worker
155 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 323-9225
DR. CARRIE BLAKE STRAUSS - KISLIN O.D.
Optometrist
155 MORRIS AVE, STE 302
SPRINGFIELD, NJ 07081
Union County (973) 232-6900
MR. RONALD D PALLANT MD
Surgery
155 MORRIS AVE, SECOND FLOOR
SPRINGFIELD, NJ 07081
Union County (973) 232-2300
COREY M NOTIS MD
Ophthalmology
155 MORRIS AVE, 3RD FLOOR, SUITE 2
SPRINGFIELD, NJ 07081
Union County (973) 232-6900
ACUTE CARE SURGICAL ASSOCIATES LLC
Surgery
155 MORRIS AVE, SUITE 204
SPRINGFIELD, NJ 07081
Union County (973) 232-2300
DR. MUHAMMAD S FETEIHA MD
Surgery
155 MORRIS AVE, 2ND FLOOR
SPRINGFIELD, NJ 07081
Union County (973) 232-2300

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 Bijal Patel's NPI number?

The NPI number for Bijal Patel is 1497194344. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Bijal Patel located?

Bijal Patel practices at 155 Morris Ave Suite 302, Springfield, NJ 07081. The listed phone number is (973) 232-6900.

What is Bijal Patel's specialty?

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

Is Bijal Patel enrolled in Medicare?

Yes. Bijal 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 organization bills Medicare for Bijal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bijal Patel reassigns Medicare benefits to Corey M. Notis, M.D., P.A. (Springfield, NJ). The 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 Bijal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bijal Patel 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 9 other insurers list Bijal 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 Bijal Patel was last updated on December 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.