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GURJEET S RAI OD
NPI 1669152955
Optometrist in Broomall, PA

Active since July 20, 2023PECOS EnrolledAccepts Medicare Assignment
20 SCHOOLHOUSE LN, BROOMALL, PA 19008(484) 802-2404 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gurjeet S Rai Od NPPES

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

GURJEET S RAI OD (NPI 1669152955) is an individual optometrist in Broomall, Pennsylvania, licensed in Pennsylvania (OEG004013) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Chester, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669152955
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGURJEET S RAICredential: OD
Location Address20 SCHOOLHOUSE LNBroomall, PA 19008-1830
Mailing Address20 Schoolhouse LnBroomall, PA 19008-1830 · (484) 802-2404
Phone(484) 802-2404
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1669152955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG004013
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.
20 SCHOOLHOUSE LN, Broomall, PA 19008
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Secondary Practice Location 1

Location 1915 Old Fern Hill Rd Ste 200West Chester, PA 19380-3433 · Phone (610) 696-1230

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Gurjeet S Rai Od 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 ID5698139525
PECOS Enrollment IDI20230912000566
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 Reassignment

Medicare enrollment records show Gurjeet Rai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chester County Eye Care Assoc PC
12 mi
Ophthalmology
915 OLD FERN HILL RD BLDG B STE 200
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 19 clinicians in this Medicare group
NPI 1588666200 (610) 696-1230

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 12

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.

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.
470 services394 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.
338 services282 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.
321 services219 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.
141 services141 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.
53 services51 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).
36 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19008 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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 Gurjeet Rai's NPI number?

The NPI number for Gurjeet Rai is 1669152955. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Gurjeet Rai located?

Gurjeet Rai practices at 20 Schoolhouse Ln, Broomall, PA 19008. The listed phone number is (484) 802-2404.

What is Gurjeet Rai's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gurjeet Rai enrolled in Medicare?

Yes. Gurjeet Rai 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 Gurjeet Rai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gurjeet Rai reassigns Medicare benefits to Chester County Eye Care Assoc PC (West Chester, PA). 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 Gurjeet Rai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gurjeet Rai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 14 other insurers list Gurjeet Rai 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 Gurjeet Rai was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.