DANIEL P. ETHAKOTI OD
NPI 1740662964
Optometrist in Saint Louis, MO
About Daniel P. Ethakoti Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL P. ETHAKOTI OD (NPI 1740662964) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2015020209) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Daniel P. Ethakoti 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.
Medicare Billing Reassignments
2Medicare enrollment records show Daniel Ethakoti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63124
- Reassigned Medicare billing, Missouri enrollment
- 3 clinicians in this Medicare group
Saint Louis, MO 63114
- Reassigned Medicare billing, Missouri enrollment
- 10 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Daniel Ethakoti's NPI number?
The NPI number for Daniel Ethakoti is 1740662964. It was assigned to this individual provider in the NPPES registry on June 24, 2015.
Where is Daniel Ethakoti located?
Daniel Ethakoti practices at 3732 S Kingshighway Blvd, Saint Louis, MO 63109. The listed phone number is (314) 446-1134.
What is Daniel Ethakoti's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Daniel Ethakoti enrolled in Medicare?
Yes. Daniel Ethakoti 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 Daniel Ethakoti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Ethakoti reassigns Medicare benefits to 2 organizations: Red Eye, Inc. (Saint Louis, MO) and Overland Optical, Inc. (Saint Louis, MO). 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 Daniel Ethakoti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daniel Ethakoti accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Daniel Ethakoti 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 Daniel Ethakoti was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Daniel P. Ethakoti, OD · NPI 1740662964
Optometrist provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 24, 2015.
## Identity
- **NPI:** 1740662964 (Entity type: Individual)
- **Enumerated:** June 24, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2015020209 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3732 S KINGSHIGHWAY BLVD, Saint Louis, MO 63109-1800
- **Phone:** (314) 446-1134 · **Fax:** (314) 446-1136
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Red Eye, Inc. (NPI 1629257852, Saint Louis, MO); Overland Optical, Inc. (NPI 1457377848, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 24, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1740662964) · Data from the CMS NPPES public registry.