DR. RAJAT GHAIY M.D.
NPI 1609052695
Ophthalmology - Neuro-ophthalmology in Atlanta, GA

Active since January 21, 2008PECOS EnrolledAccepts Medicare Assignment
83.38/100
CMS Quality Rating
3225 CUMBERLAND BLVD SE STE 900, ATLANTA, GA 30339(404) 351-2220(404) 352-5392 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2021, Mar 8, 2019 (2 updates tracked since 2019).

About Dr. Rajat Ghaiy M.d. NPPES

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

DR. RAJAT GHAIY M.D. (NPI 1609052695) is an individual neuro-ophthalmology provider in Atlanta, Georgia, licensed in Georgia (062986) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1609052695
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NameDR. RAJAT GHAIYCredential: M.D.
Location Address3225 CUMBERLAND BLVD SE STE 900Atlanta, GA 30339-5971
Mailing Address3225 Cumberland Blvd Se, Ste 900Atlanta, GA 30339-6407 · (404) 351-2220
Fax(404) 352-5392
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 21, 2008
Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
NPI 1609052695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License Licensed in GA · 062986
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedOphthalmologyTaxonomy 207W00000X · License 62986 (GA)
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 062986 (GA)
3225 CUMBERLAND BLVD SE STE 900, Atlanta, GA 30339

Other Identifiers 1

Medicaid698662557AGA

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

Dr. Rajat Ghaiy 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 ID3870668049
PECOS Enrollment IDI20090923000278
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 15

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,143 services19 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
443 services353 patients
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.
389 services329 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.
385 services339 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
380 services315 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.
145 services144 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 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.

83.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Ophthalmology
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339
Ophthalmology (Cornea and External Diseases Specialist)
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339
Technician/Technologist (Ophthalmic Assistant)
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3225 CUMBERLAND BLVD SE STE 900
ATLANTA, GA 30339

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 Rajat Ghaiy's NPI number?

The NPI number for Rajat Ghaiy is 1609052695. It was assigned to this individual provider in the NPPES registry on January 21, 2008.

Where is Rajat Ghaiy located?

Rajat Ghaiy practices at 3225 Cumberland Blvd SE Ste 900, Atlanta, GA 30339. The listed phone number is (404) 351-2220.

What is Rajat Ghaiy's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Rajat Ghaiy enrolled in Medicare?

Yes. Rajat Ghaiy 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 Rajat Ghaiy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Rajat Ghaiy 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 Rajat Ghaiy affiliated with any hospitals?

According to CMS data, Rajat Ghaiy is affiliated with Piedmont Cartersville Medical Center, Wellstar Kennestone Regional Medical Center, Piedmont Hospital, Wellstar Cobb Medical Center and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Rajat Ghaiy was last updated on March 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.