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DR. HEMANG KIRTEEKUMAR PANDYA M.D.
NPI 1700100229
Ophthalmology - Retina Specialist in Plano, TX

Active since March 26, 2010PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
6000 W SPRING CREEK PKWY STE 215, PLANO, TX 75024(469) 430-8375(469) 925-2850 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2020, Jan 23, 2020, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Hemang Kirteekumar Pandya M.d. NPPES

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

DR. HEMANG KIRTEEKUMAR PANDYA M.D. (NPI 1700100229) is an individual retina specialist in Plano, Texas, licensed in Texas (Q7253) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Waxahachie, and is a graduate of Chicago College Of Medicine And Surgery (2010).

NPPES Registry Identity

NPI1700100229
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. HEMANG KIRTEEKUMAR PANDYACredential: M.D.
Location Address6000 W SPRING CREEK PKWY STE 215Plano, TX 75024-3578
Mailing Address6000 W Spring Creek Pkwy Ste 215Plano, TX 75024-3578 · (469) 430-8375 · Fax (469) 925-2850
Phone(469) 430-8375
Fax(469) 925-2850
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2010
Enumeration DateMarch 26, 2010
Last NPPES UpdateFebruary 18, 20204 updates tracked since enumeration
✔ NPI 1700100229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in TX · Q7253
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 30476 (OK)
6000 W SPRING CREEK PKWY STE 215, Plano, TX 75024
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 YMCA DrWaxahachie, TX 75165-5124 · Phone (469) 430-8375 · Fax (469) 925-2850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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. Hemang Kirteekumar Pandya 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 ID5092935544
PECOS Enrollment IDI20161012000330
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 11

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.
32,400 services156 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.
1,580 services669 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.
861 services522 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.
834 services194 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.
458 services108 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.
251 services251 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

COMBER HOLDINGS PLLC DBA DALLAS RETINA CENTER
Ophthalmology (Retina Specialist)
6000 W SPRING CREEK PKWY STE 215
PLANO, TX 75024
Collin County (469) 430-8375

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 Hemang Pandya's NPI number?

The NPI number for Hemang Pandya is 1700100229. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Hemang Pandya located?

Hemang Pandya practices at 6000 W Spring Creek Pkwy Ste 215, Plano, TX 75024. The listed phone number is (469) 430-8375.

What is Hemang Pandya's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Hemang Pandya enrolled in Medicare?

Yes. Hemang Pandya 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 Hemang Pandya accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Hemang Pandya 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 Hemang Pandya was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.