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: July 19, 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
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

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

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

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.

Areas of Expertise CMS Part B claims 7

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.

Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
221 services218 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
146 services120 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.
132 services124 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
87 services87 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
New patient office or other outpatient visit, 45-59 minutes 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.
27 services27 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.

What insurance does Divya Patel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.