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DANIEL P. ETHAKOTI OD
NPI 1740662964
Optometrist in Saint Louis, MO

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
75.65/100
CMS Quality Rating
3732 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109(314) 446-1134(314) 446-1136 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1740662964
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDANIEL P. ETHAKOTICredential: OD
Location Address3732 S KINGSHIGHWAY BLVDSaint Louis, MO 63109-1800
Mailing Address211 E BroadwayAlton, IL 62002-6220 · (618) 462-9818 · Fax (800) 432-6004
Phone(314) 446-1134
Fax(314) 446-1136
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 24, 2015
✔ NPI 1740662964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2015020209
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.
3732 S KINGSHIGHWAY BLVD, Saint Louis, MO 63109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

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.

PECOS PAC ID9032422738
PECOS Enrollment IDI20150724010090
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 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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
40 services16 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.
17 services14 patients

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.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

75.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability89
Improvement Activities40
Cost28.06

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.

NU-CROWN, LLC
Optometrist
3732 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63109
St. Louis City (314) 446-1134
DR. SAMEH ABDOU BOULES OPTOMETRIST - O.D.
Optometrist
3732 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63109
St. Louis City (314) 446-1134

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.

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 Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer 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.