DR. AVI K PANDEY M.D.
NPI 1720022759
Ophthalmology in Fresh Meadows, NY

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6118 190TH ST, SUITE 229, FRESH MEADOWS, NY 11365(718) 454-1040(718) 454-7992 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Avi K Pandey M.d. NPPES

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

DR. AVI K PANDEY M.D. (NPI 1720022759) is an individual ophthalmology provider in Fresh Meadows, New York, licensed in New York (1716051) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Queens Hospital Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1984).

NPPES Registry Identity

NPI1720022759
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. AVI K PANDEYCredential: M.D.
Location Address6118 190TH ST, SUITE 229Fresh Meadows, NY 11365-2724
Mailing Address8045 Surrey PlJamaica, NY 11432-1450 · (718) 454-1040 · Fax (718) 454-7992
Fax(718) 454-7992
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1984
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
NPI 1720022759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 1716051
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.
6118 190TH ST, Fresh Meadows, NY 11365

Other Names 1

Other Name (5)Awadhesh K Pandey M.d.

Other Identifiers 18

Other0801348United Medicare
Other113325410Phcs
Other0006748Ghi
Other159853Elderplan
Other39388721199 National Benefit
Medicaid01457221NY
Other113325410Magnacare
Other171605A71Healthfirst Medicaid
Other36E361Empire Medicare
Other113325410Cigna
Other0C8079Healthnet
Other113325410Horizon
Other1114040Unitedhealthcare
Other180018329Railroad Medicare
Other113325410Multiplan
Other36E363Bcbs
Other513607Aetna
OtherDS459Oxford

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. Avi K Pandey 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 ID6103001359
PECOS Enrollment IDI20110503000544
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.

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.
558 services416 patients
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.
401 services387 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.
230 services152 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.
228 services214 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.
149 services118 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).
140 services115 patients

Hospital Affiliations CMS Care Compare

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

Queens Hospital Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330231
Location82-68 164th StreetJamaica, NY 11432 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%212 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%37 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
96%467 patients
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 3

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

Obstetrics & Gynecology
6118 190TH ST, SUITE 234
FRESH MEADOWS, NY 11365
Specialist
6118 190TH ST, SUITE 229
FRESH MEADOWS, NY 11365
Internal Medicine (Hematology & Oncology)
6118 190TH ST
FRESH MEADOWS, NY 11365

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 Avi Pandey's NPI number?

The NPI number for Avi Pandey is 1720022759. It was assigned to this individual provider in the NPPES registry on June 16, 2006. The provider is also known as Awadhesh K Pandey M.D..

Where is Avi Pandey located?

Avi Pandey practices at 6118 190th St Suite 229, Fresh Meadows, NY 11365. The listed phone number is (718) 454-1040.

What is Avi Pandey's specialty?

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

Is Avi Pandey enrolled in Medicare?

Yes. Avi Pandey 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.

Is Avi Pandey affiliated with any hospitals?

According to CMS data, Avi Pandey is affiliated with Queens Hospital Center.

When was this NPI record last updated?

The NPPES record for Avi Pandey was last updated on December 7, 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.