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DR. ASIM R PIRACHA M.D.
NPI 1497756852
Ophthalmology in Lexington, KY

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
98.36/100
CMS Quality Rating
2353 ALEXANDRIA DR STE 260, LEXINGTON, KY 40504(859) 224-2655(859) 223-7147 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2025, Jun 18, 2024, Jun 11, 2024 and 1 more (4 updates tracked since 2020).

About Dr. Asim R Piracha M.d. NPPES

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

DR. ASIM R PIRACHA M.D. (NPI 1497756852) is an individual ophthalmology provider in Lexington, Kentucky, licensed in Kentucky (32762) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Albany, and is a graduate of West Virginia University School Of Medicine (1995).

NPPES Registry Identity

NPI1497756852
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ASIM R PIRACHACredential: M.D.
Location Address2353 ALEXANDRIA DR STE 260Lexington, KY 40504-3208
Mailing Address2353 Alexandria Dr Ste 350Lexington, KY 40504-3208 · (859) 224-2655 · Fax (859) 223-7147
Phone(859) 224-2655
Fax(859) 223-7147
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1995
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1497756852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in KY · 32762✔ Licensed in IN · 01055599A
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.
2353 ALEXANDRIA DR STE 260, Lexington, KY 40504
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Secondary Practice Location 1

Location 1519 State StNew Albany, IN 47150-3620 · Phone (812) 948-0616 · Fax (812) 949-3447

Other Identifiers 5

Other000000491263KY · Anthem
Medicaid1158406KY
Medicaid64046519KY
Medicaid2439268000KY
Medicaid200122930IN

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Asim R Piracha 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 ID9739161126
PECOS Enrollment IDI20040601000797
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 9

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.

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.
733 services421 patients
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.
523 services334 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.
143 services143 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.
70 services60 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.
68 services68 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
33 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

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.

98.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability94
Improvement Activities40
Cost99.54

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
18 suppliers45 claims45 services$53.32 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
9 suppliers16 claims30 services$52.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

CHRISTOPHER J KUC OD
Optometrist
2353 ALEXANDRIA DR STE 260
LEXINGTON, KY 40504
Fayette County (859) 224-2655
RLL ANESTHESIA PLLC
Anesthesiology
2353 ALEXANDRIA DR STE 260
LEXINGTON, KY 40504
Fayette County (859) 224-2655
GARY NATHANAEL WORTZ MD
Ophthalmology
2353 ALEXANDRIA DR STE 260
LEXINGTON, KY 40504
Fayette County (859) 224-2655

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 Asim Piracha's NPI number?

The NPI number for Asim Piracha is 1497756852. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Asim Piracha located?

Asim Piracha practices at 2353 Alexandria Dr Ste 260, Lexington, KY 40504. The listed phone number is (859) 224-2655.

What is Asim Piracha's specialty?

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

Is Asim Piracha enrolled in Medicare?

Yes. Asim Piracha 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 Asim Piracha accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Asim Piracha 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 Asim Piracha was last updated on February 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.