DR. SAGAR YATIN PATEL MD
NPI 1568808764
Ophthalmology in Lawrenceville, GA

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
77.57/100
CMS Quality Rating
1250 SCENIC HWY STE 1700, LAWRENCEVILLE, GA 30045(678) 381-2020 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2022, Jun 20, 2021, Jul 23, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Sagar Yatin Patel Md NPPES

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

DR. SAGAR YATIN PATEL MD (NPI 1568808764) is an individual ophthalmology provider in Lawrenceville, Georgia, licensed in Georgia (79622) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568808764
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SAGAR YATIN PATELCredential: MD
Location Address1250 SCENIC HWY STE 1700Lawrenceville, GA 30045-7823
Mailing Address1300 Peachtree Industrial Blvd, Ste 1201Suwanee, GA 30024-4550 · (678) 381-2020 · Fax (678) 381-2015
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateMay 14, 2013
Last NPPES UpdateJuly 27, 20225 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1568808764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in GA · 79622✔ Licensed in TX · R1610
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.
1250 SCENIC HWY STE 1700, Lawrenceville, GA 30045

Secondary Practice Locations 2

Location 15323 Harry Hines BlvdDallas, TX 75390-2134 · Phone (214) 645-2020
Location 21995 Mall Of Georgia Blvd Ste ABuford, GA 30519 · Phone (678) 381-2020 · Fax (678) 381-2015

Accepted 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. Sagar Yatin Patel Md 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 ID8123397544
PECOS Enrollment IDI20180926002796
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

5

Medicare enrollment records show Sagar Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
1250 SCENIC HWY STE 1600
Lawrenceville, GA 30045
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
Ambulatory Surgical
1995 MALL OF GEORGIA BLVD, SUITE A
Buford, GA 30519
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
Ambulatory Surgical
2555 WESTSIDE PKWY STE 325
Alpharetta, GA 30004
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
Ambulatory Surgical
1034 HAW CREEK CIRCLE, SUITE 200
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
Ophthalmology
1034 HAW CREEK CIR STE 100
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group

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 17

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.

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.
362 services232 patients
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.
294 services170 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.
257 services215 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.
186 services186 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.
136 services91 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
112 services104 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

77.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40
Cost29.42

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.

Optometrist
1250 SCENIC HWY STE 1700
LAWRENCEVILLE, GA 30045
Optometrist
1250 SCENIC HWY STE 1700
LAWRENCEVILLE, GA 30045
Optometrist
1250 SCENIC HWY STE 1700
LAWRENCEVILLE, GA 30045

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 Sagar Patel's NPI number?

The NPI number for Sagar Patel is 1568808764. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Sagar Patel located?

Sagar Patel practices at 1250 Scenic Hwy Ste 1700, Lawrenceville, GA 30045. The listed phone number is (678) 381-2020.

What is Sagar Patel's specialty?

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

Is Sagar Patel enrolled in Medicare?

Yes. Sagar 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 Sagar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sagar Patel reassigns Medicare benefits to 5 organizations: Snellville Eye Surgery Center LLC (Lawrenceville, GA), Buford Eye Surgery Center (Buford, GA), Alpharetta Eye Surgery Center LLC (Alpharetta, GA), Forsyth Eye Surgery Center, LLC (Cumming, GA) and Milan Eye LLC (Cumming, GA). 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 Sagar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sagar Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 6 other insurers list Sagar 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.

Is Sagar Patel affiliated with any hospitals?

According to CMS data, Sagar Patel is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Sagar Patel was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.