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DIVYA PATEL O.D.
NPI 1528498565
Optometrist in Clarksville, TN

Active since November 12, 2013PECOS EnrolledAccepts Medicare Assignment
79.05/100
CMS Quality Rating
2801 WILMA RUDOLPH BLVD STE 665, CLARKSVILLE, TN 37040(931) 552-4455(931) 552-8999 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Divya Patel O.d. NPPES

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

DIVYA PATEL O.D. (NPI 1528498565) is an individual optometrist in Clarksville, Tennessee, licensed in Tennessee (3136) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Pennsylvania College Of Optometry (2013).

NPPES Registry Identity

NPI1528498565
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDIVYA PATELCredential: O.D.
Location Address2801 WILMA RUDOLPH BLVD STE 665Clarksville, TN 37040-5063
Mailing Address2801 Wilma Rudolph Blvd Ste 665Clarksville, TN 37040-5063 · (931) 552-4455 · Fax (931) 552-8999
Phone(931) 552-4455
Fax(931) 552-8999
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2013
Enumeration DateNovember 12, 2013
Last NPPES UpdateMarch 13, 2019
✔ NPI 1528498565 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 TN · 3136✔ Licensed in TN · TN3136
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.
2801 WILMA RUDOLPH BLVD STE 665, Clarksville, TN 37040
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Secondary Practice Location 1

Location 11050 N James Campbell Blvd, Suite 100Columbia, TN 38401-2754 · Phone (931) 375-1050 ext. 105 · Fax (931) 380-9269

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 Montana, Blue Cross and Blue Shield of Oklahoma 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

Divya 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 ID2062645534
PECOS Enrollment IDI20140507002207
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 Divya Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Calvert Opthalmology Psc
1.2 mi
Ophthalmology
290 CLEAR SKY COURT
Clarksville, TN 37043
  • Reassigned Medicare billing, Tennessee enrollment
  • 12 clinicians in this Medicare group
NPI 1326210451 (931) 647-4900
Clarksville Ophthalmology P.C.
1.3 mi
Ophthalmology
141 CHESAPEAKE LANE, SUITE 300
Clarksville, TN 37040
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
NPI 1598746794 (931) 552-6830

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 11

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.
832 services779 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.
508 services357 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.
358 services310 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).
311 services298 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.
255 services244 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
96 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

79.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost30.18

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 Divya Patel's NPI number?

The NPI number for Divya Patel is 1528498565. It was assigned to this individual provider in the NPPES registry on November 12, 2013.

Where is Divya Patel located?

Divya Patel practices at 2801 Wilma Rudolph Blvd Ste 665, Clarksville, TN 37040. The listed phone number is (931) 552-4455.

What is Divya Patel's specialty?

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

Is Divya Patel enrolled in Medicare?

Yes. Divya 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 organizations bill Medicare for Divya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Patel reassigns Medicare benefits to 2 organizations: Calvert Opthalmology Psc (Clarksville, TN) and Clarksville Ophthalmology P.C. (Clarksville, TN). 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 Divya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Divya Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Divya 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 Divya Patel was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.