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DR. PRASAD B PANTHAGANI MD
NPI 1609945427
Ophthalmology in Bloomfield, CT

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
701 COTTAGE GROVE RD, SUITE B210, BLOOMFIELD, CT 06002(860) 242-9090(860) 242-9191 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prasad B Panthagani Md NPPES

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

DR. PRASAD B PANTHAGANI MD (NPI 1609945427) is an individual ophthalmology provider in Bloomfield, Connecticut, licensed in Connecticut (044859) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1609945427
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PRASAD B PANTHAGANICredential: MD
Location Address701 COTTAGE GROVE RD, SUITE B210Bloomfield, CT 06002-3080
Mailing Address701 Cottage Grove Road, Suite B210Bloomfield, CT 06002 · (860) 242-9191 · Fax (860) 242-9090
Phone(860) 242-9090
Fax(860) 242-9191
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 7, 2006
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1609945427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 044859
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.
701 COTTAGE GROVE RD, Bloomfield, CT 06002
Open in Google Maps ↗

Other Identifiers 1

Medicaid001448598CT

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. Prasad B Panthagani 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 ID749274389
PECOS Enrollment IDI20070615000021
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 4

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.
38 services38 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.
21 services14 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).
17 services17 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06002 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%182 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%995 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
46%48 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%1,307 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 145 patients
Patients tobacco: 82% · 136 patients
11%38 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
29%90 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%1,307 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 223 patients
0%223 patients5/55-star benchmark: 100%
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 20

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

MORPHE'MD
Radiology (Vascular & Interventional Radiology)
701 COTTAGE GROVE RD, BUILDING D210
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 726-1400
JANE HOUSE RPT
Physical Therapist
701 COTTAGE GROVE RD, SUITE E130
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 286-0838
REFLECTIONS PSYCHOTHERAPY SERVICES LLC
Community/Behavioral Health
701 COTTAGE GROVE RD, SUITE F 120
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 878-9145
SAGE REHAB, INC
Psychiatry & Neurology (Neurology)
701 COTTAGE GROVE RD, SUITE E130
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 286-0838
OKSANA KLOYZNER MD
Internal Medicine
701 COTTAGE GROVE RD, SUITE F
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 242-4000
PAUL GANDEL MD
Internal Medicine
701 COTTAGE GROVE RD, SUITE E210
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-9534
ELIZABETH YVONNE EVANS M.D.
Internal Medicine
701 COTTAGE GROVE RD, C130
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 243-3352
DR. MICHAEL N MOUSTAKAKIS MD
Internal Medicine (Nephrology)
701 COTTAGE GROVE RD, SUITE B220
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 769-9866

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 Prasad Panthagani's NPI number?

The NPI number for Prasad Panthagani is 1609945427. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Prasad Panthagani located?

Prasad Panthagani practices at 701 Cottage Grove Rd Suite B210, Bloomfield, CT 06002. The listed phone number is (860) 242-9090.

What is Prasad Panthagani's specialty?

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

Is Prasad Panthagani enrolled in Medicare?

Yes. Prasad Panthagani 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.

When was this NPI record last updated?

The NPPES record for Prasad Panthagani was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.