DR. DHARA PATEL OD
NPI 1720642200
Optometrist in Buford, GA

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
77.57/100
CMS Quality Rating
1995 MALL OF GEORGIA BLVD STE A, BUFORD, GA 30519(678) 381-2020(678) 381-2015 Get Directions Write a Review

NPPES record last updated: September 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2020, Apr 30, 2019 (2 updates tracked since 2019).

About Dr. Dhara Patel Od NPPES

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

DR. DHARA PATEL OD (NPI 1720642200) is an individual optometrist in Buford, Georgia, licensed in Georgia (OPT003164) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720642200
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DHARA PATELCredential: OD
Location Address1995 MALL OF GEORGIA BLVD STE ABuford, GA 30519-6545
Mailing Address1300 Peachtree Industrial Blvd Ste 1201Suwanee, GA 30024-4550 · (678) 381-2020 · Fax (678) 381-2015
Fax(678) 381-2015
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 30, 2019
Last NPPES UpdateSeptember 6, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
NPI 1720642200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in GA · OPT003164
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.
1995 MALL OF GEORGIA BLVD STE A, Buford, GA 30519

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Dhara Patel 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 ID2365869658
PECOS Enrollment IDI20200901002458
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30519 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 4

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

Ophthalmology
1995 MALL OF GEORGIA BLVD STE A
BUFORD, GA 30519
Ophthalmology
1995 MALL OF GEORGIA BLVD STE A
BUFORD, GA 30519
Ophthalmology (Glaucoma Specialist)
1995 MALL OF GEORGIA BLVD STE A
BUFORD, GA 30519
Optometrist
1995 MALL OF GEORGIA BLVD STE A
BUFORD, GA 30519

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 Dhara Patel's NPI number?

The NPI number for Dhara Patel is 1720642200. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Dhara Patel located?

Dhara Patel practices at 1995 Mall Of Georgia Blvd Ste A, Buford, GA 30519. The listed phone number is (678) 381-2020.

What is Dhara Patel's specialty?

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

Is Dhara Patel enrolled in Medicare?

Yes. Dhara Patel 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 Dhara Patel accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Dhara Patel 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 Dhara Patel was last updated on September 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.