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GURUPRASAD RAVINDRA PATTAR M.D.
NPI 1689963589
Ophthalmology in Louisville, KY

Active since March 31, 2011PECOS EnrolledAccepts Medicare Assignment
75.88/100
CMS Quality Rating
1536 STORY AVE, LOUISVILLE, KY 40206(502) 589-1500(502) 589-1556 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Guruprasad Ravindra Pattar M.d. NPPES

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

GURUPRASAD RAVINDRA PATTAR M.D. (NPI 1689963589) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (48596) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Indiana University School Of Medicine (2011).

NPPES Registry Identity

NPI1689963589
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGURUPRASAD RAVINDRA PATTARCredential: M.D.
Location Address1536 STORY AVELouisville, KY 40206-1738
Mailing Address1536 Story AveLouisville, KY 40206-1738 · (502) 589-1500 · Fax (502) 589-1556
Phone(502) 589-1500
Fax(502) 589-1556
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2011
Enumeration DateMarch 31, 2011
Last NPPES UpdateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1689963589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in KY · 48596✔ Licensed in IN · 01075545A
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.
1536 STORY AVE, Louisville, KY 40206
Open in Google Maps ↗

Secondary Practice Location 1

Location 1301 E Muhammad Ali BlvdLouisville, KY 40202-1511 · Phone (502) 588-0550

Accepted Insurance

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

Guruprasad Ravindra Pattar 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 ID4082928635
PECOS Enrollment IDI20150908001083
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 Reassignments

2

Medicare enrollment records show Guruprasad Pattar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Associates, Psc
Same address
Ophthalmology
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
Louisville, KY 40206
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 4 clinicians in this Medicare group
NPI 1285639666 (502) 589-1500
University Of Louisville Physicians, Inc.
1.3 mi
Hematology & Oncology
529 S JACKSON ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1568737674 (502) 562-4370

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 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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
3,120 services17 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.
669 services549 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
624 services267 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.
553 services254 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
250 services64 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
150 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40206 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

75.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost19.62

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
67%146 patients3/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%146 patients5/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
100%83 patients
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
100%109 patients5/55-star benchmark: 100%
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
100%220 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
96%90 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
100%90 patients5/55-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.
100%2,920 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%277 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
0%643 patients1/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
100%571 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%201 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
1%520 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
1%347 patients1/55-star benchmark: 88%
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: 99% · 553 patients
Patients tobacco: 94% · 553 patients
17%35 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
95%59 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
6%571 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%571 patients1/55-star benchmark: 77%
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% · 643 patients
0%643 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 11

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

DR. BRENNAN P GREENE MD
Ophthalmology
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500
DR. RENEE S MCENTIRE O.D.
Optometrist
1536 STORY AVE
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500
DR. HAYLEY M WOODRUFF OD
Optometrist
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500
CAROLINE ELIZABETH MAYER OD
Optometrist
1536 STORY AVE
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500
RETINA ASSOCIATES, PSC
Ophthalmology
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500
DR. SEAN F MURPHY MD
Ophthalmology
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500
DR. JOHN CHARLES MEYER MD
Ophthalmology
1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500
DR. EMILY M EBELHAR OD
Optometrist
1536 STORY AVE
LOUISVILLE, KY 40206
Jefferson County (502) 589-1500

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 Guruprasad Pattar's NPI number?

The NPI number for Guruprasad Pattar is 1689963589. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Guruprasad Pattar located?

Guruprasad Pattar practices at 1536 Story Ave, Louisville, KY 40206. The listed phone number is (502) 589-1500.

What is Guruprasad Pattar's specialty?

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

Is Guruprasad Pattar enrolled in Medicare?

Yes. Guruprasad Pattar 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 organizations bill Medicare for Guruprasad Pattar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guruprasad Pattar reassigns Medicare benefits to 2 organizations: Retina Associates, Psc (Louisville, KY) and University Of Louisville Physicians, Inc. (Louisville, KY). Each 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 Guruprasad Pattar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guruprasad Pattar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list Guruprasad Pattar 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 Guruprasad Pattar was last updated on September 7, 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.