DR. SAMIR VIRA M.D.
NPI 1679725550
Ophthalmology in Cumming, GA

Active since October 22, 2008PECOS EnrolledAccepts Medicare Assignment
77.57/100
CMS Quality Rating
1034 HAW CREEK CIR STE 100, CUMMING, GA 30041(678) 381-2020(678) 381-2015 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, May 15, 2018, May 11, 2018 (3 updates tracked since 2018).

About Dr. Samir Vira M.d. NPPES

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

DR. SAMIR VIRA M.D. (NPI 1679725550) is an individual ophthalmology provider in Cumming, Georgia, licensed in Georgia (69458) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1679725550
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SAMIR VIRACredential: M.D.
Location Address1034 HAW CREEK CIR STE 100Cumming, GA 30041-6513
Mailing Address1034 Haw Creek Cir Ste 100Cumming, GA 30041-6513 · (678) 381-2020 · Fax (678) 381-2015
Fax(678) 381-2015
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2008
Enumeration DateOctober 22, 2008
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1679725550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in GA · 69458 Licensed in IL · 036130938
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125-054005 (IL)
1034 HAW CREEK CIR STE 100, Cumming, GA 30041

Secondary Practice Location 1

Location 11525 E 53rd St, Suite 1002Chicago, IL 60615-4557 · Phone (773) 288-2020

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. Samir Vira 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 ID9436309549
PECOS Enrollment IDI20130723000762
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 14

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.
364 services225 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.
304 services171 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.
173 services173 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.
116 services112 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
90 services66 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.
81 services51 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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 7

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

Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Ophthalmology
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Ophthalmology
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Optometrist
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041
Ophthalmology
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041

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 Samir Vira's NPI number?

The NPI number for Samir Vira is 1679725550. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Samir Vira located?

Samir Vira practices at 1034 Haw Creek Cir Ste 100, Cumming, GA 30041. The listed phone number is (678) 381-2020.

What is Samir Vira's specialty?

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

Is Samir Vira enrolled in Medicare?

Yes. Samir Vira 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 Samir Vira 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 Samir Vira 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 Samir Vira affiliated with any hospitals?

According to CMS data, Samir Vira is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Samir Vira was last updated on October 31, 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.