DR. PRABHJPT KAUR MCTAGUE O.D
NPI 1619030376
Optometrist in Oneida, NY
About Dr. Prabhjpt Kaur Mctague O.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRABHJPT KAUR MCTAGUE O.D (NPI 1619030376) is an individual optometrist in Oneida, New York, licensed in New York (TUV006706-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1997).
NPPES Registry Identity
Specialties & Licenses
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. Prabhjpt Kaur Mctague 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.
Medicare Billing Reassignment
Medicare enrollment records show Prabhjpt Mctague reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Florence, SC 29501
- Reassigned Medicare billing, South Carolina enrollment
- 17 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ONEIDA, NY 13421
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 Prabhjpt Mctague's NPI number?
The NPI number for Prabhjpt Mctague is 1619030376. It was assigned to this individual provider in the NPPES registry on December 17, 2006.
Where is Prabhjpt Mctague located?
Prabhjpt Mctague practices at 1294 Upper Lenox Ave, Oneida, NY 13421. The listed phone number is (315) 361-4050.
What is Prabhjpt Mctague's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Prabhjpt Mctague enrolled in Medicare?
Yes. Prabhjpt Mctague 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 organization bills Medicare for Prabhjpt Mctague's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prabhjpt Mctague reassigns Medicare benefits to Bergelt Optometric LLC (Florence, SC). The 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 Prabhjpt Mctague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prabhjpt Mctague accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Prabhjpt Mctague 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 Prabhjpt Mctague was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.