DR. HETAL DINESH VAISHNAV MD
NPI 1750319331
Ophthalmology in Melbourne, FL

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
99.53/100
CMS Quality Rating
175 E NASA BLVD STE 201, MELBOURNE, FL 32901(321) 999-7456 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Sep 6, 2023, Apr 26, 2017 (3 updates tracked since 2017).

About Dr. Hetal Dinesh Vaishnav Md NPPES

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

DR. HETAL DINESH VAISHNAV MD (NPI 1750319331) is an individual ophthalmology provider in Melbourne, Florida, licensed in Florida (ME89205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Morehouse School Of Medicine (1999).

NPPES Registry Identity

NPI1750319331
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HETAL DINESH VAISHNAVCredential: MD
Location Address175 E NASA BLVD STE 201Melbourne, FL 32901-1998
Mailing Address175 E Nasa Blvd Ste 201Melbourne, FL 32901-1998 · (321) 999-7456
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 1999
Enumeration DateJune 30, 2006
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1750319331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME89205
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License ME89205 (FL)
175 E NASA BLVD STE 201, Melbourne, FL 32901

Other Names 1

Other Name (5)Hetal Dinesh Vaishnav

Secondary Practice Locations 4

Location 11709 Garden StTitusville, FL 32796-5002 · Phone (321) 999-7456
Location 2250 N Courtenay Pkwy Ste 101Merritt Island, FL 32953-3495 · Phone (321) 999-7456
Location 3150 S Woods Dr Ste ARockledge, FL 32955-3262 · Phone (321) 999-7456
Location 45055 Babcock St NE Ste 6Palm Bay, FL 32905-4673 · Phone (321) 999-7456

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. Hetal Dinesh Vaishnav Md 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 ID1456322734
PECOS Enrollment IDI20040802000730
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 28

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.
9,780 services39 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.
2,455 services1,096 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.
1,504 services369 patients
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.
1,310 services976 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.
1,202 services126 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.
577 services435 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

99.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.06
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%363 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%269 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
9%55 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
5%1,452 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
4%231 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 2

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

Ophthalmology
175 E NASA BLVD STE 201
MELBOURNE, FL 32901
Ophthalmology (Retina Specialist)
175 E NASA BLVD STE 201
MELBOURNE, FL 32901

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 Hetal Vaishnav's NPI number?

The NPI number for Hetal Vaishnav is 1750319331. It was assigned to this individual provider in the NPPES registry on June 30, 2006. The provider is also known as Hetal Dinesh Vaishnav.

Where is Hetal Vaishnav located?

Hetal Vaishnav practices at 175 E Nasa Blvd Ste 201, Melbourne, FL 32901. The listed phone number is (321) 999-7456.

What is Hetal Vaishnav's specialty?

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

Is Hetal Vaishnav enrolled in Medicare?

Yes. Hetal Vaishnav 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 Hetal Vaishnav accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and Health First Commercial Plans, Inc. list Hetal Vaishnav 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 Hetal Vaishnav was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.