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DR. JAYMAL DILIPKUMAR DARJEE
NPI 1508414350
Optometrist in Rockwall, TX

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
3301 N GOLIAD ST STE 109, ROCKWALL, TX 75087(972) 430-4414 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 31, 2026, Nov 21, 2019, Aug 26, 2019 (3 updates tracked since 2019).

About Dr. Jaymal Dilipkumar Darjee NPPES

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

DR. JAYMAL DILIPKUMAR DARJEE (NPI 1508414350) is an individual optometrist in Rockwall, Texas, licensed in Texas (11315) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2019).

NPPES Registry Identity

NPI1508414350
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAYMAL DILIPKUMAR DARJEE
Location Address3301 N GOLIAD ST STE 109Rockwall, TX 75087-7194
Mailing Address3301 N Goliad St Ste 109Rockwall, TX 75087-7194 · (972) 430-4414
Phone(972) 430-4414
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2019
Enumeration DateAugust 26, 2019
Last NPPES UpdateJanuary 31, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2026
✔ NPI 1508414350 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 TX · 11315✔ Licensed in VT · 030.0133913
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.
3301 N GOLIAD ST STE 109, Rockwall, TX 75087
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Other Identifiers 1

Medicaid1004NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Jaymal Dilipkumar Darjee 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 ID4183954639
PECOS Enrollment IDI20260521000668
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

2

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

Aeg Texas Professional PLLC
256 mi
Optometrist
205B W WATER ST
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 404 clinicians in this Medicare group
NPI 1457905937 (830) 896-2600
Shippee Family Eye Care PC
1,501 mi
Optometrist
114 MAIN ST
Montpelier, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • 11 clinicians in this Medicare group
NPI 1144676610 (802) 223-7723

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 12

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 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.
399 services398 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.
267 services254 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.
218 services142 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.
168 services146 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.
152 services122 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).
151 services125 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75087 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.

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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality48.67
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
90%105 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%24 patients1/55-star benchmark: 91%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
77%48 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
82%824 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
1%213 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%796 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 83% · 53 patients
79%53 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
0%33 patients
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 3

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

TSO ROCKWALL LLC
Optometrist
3301 N GOLIAD ST STE 109
ROCKWALL, TX 75087
Rockwall County (432) 230-5615
YINGYAN HO OD
Optometrist
3301 N GOLIAD ST STE 109
ROCKWALL, TX 75087
Rockwall County (972) 430-4414
DR. ROSS MOULDER OD
Optometrist
3301 N GOLIAD ST STE 109
ROCKWALL, TX 75087
Rockwall County (972) 430-9977

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 Jaymal Darjee's NPI number?

The NPI number for Jaymal Darjee is 1508414350. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Jaymal Darjee located?

Jaymal Darjee practices at 3301 N Goliad St Ste 109, Rockwall, TX 75087. The listed phone number is (972) 430-4414.

What is Jaymal Darjee's specialty?

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

Is Jaymal Darjee enrolled in Medicare?

Yes. Jaymal Darjee 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 Jaymal Darjee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaymal Darjee reassigns Medicare benefits to 2 organizations: Aeg Texas Professional PLLC (Kerrville, TX) and Shippee Family Eye Care PC (Montpelier, VT). 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 Jaymal Darjee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaymal Darjee accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Jaymal Darjee 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 Jaymal Darjee was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.