DR. BALAMURALI KRISHNA AMBATI MD
NPI 1750397576
Ophthalmology in Eugene, OR

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.97/100
CMS Quality Rating
360 S GARDEN WAY STE 250, EUGENE, OR 97401(541) 343-5000 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Balamurali Krishna Ambati Md NPPES

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

DR. BALAMURALI KRISHNA AMBATI MD (NPI 1750397576) is an individual ophthalmology provider in Eugene, Oregon, licensed in Oregon (MD178830) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cottage Grove, and is a graduate of Icahn School Of Medicine At Mount Sinai (1995).

NPPES Registry Identity

NPI1750397576
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BALAMURALI KRISHNA AMBATICredential: MD
Location Address360 S GARDEN WAY STE 250Eugene, OR 97401-8175
Mailing Address360 S Garden Way Ste 250Eugene, OR 97401-8175 · (541) 343-5000
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1995
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 7, 2024
NPPES CertifiedJune 7, 2024
NPI 1750397576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in OR · MD178830 Licensed in UT · 6771485-1205
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.
360 S GARDEN WAY STE 250, Eugene, OR 97401

Secondary Practice Location 1

Location 1257 N 8th StCottage Grove, OR 97424-1612 · Phone (541) 942-5000

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. Balamurali Krishna Ambati 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 ID4385721141
PECOS Enrollment IDI20161018000599
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 23

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
167 services76 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
155 services111 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.
140 services123 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.
131 services87 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.
130 services111 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
126 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

95.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost86.59

Other Providers at the Same Location NPPES 20

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

Behavior Technician
360 S GARDEN WAY STE 250
EUGENE, OR 97401
Optometrist
360 S GARDEN WAY STE 250
EUGENE, OR 97401
Behavior Technician
360 S GARDEN WAY STE 250
EUGENE, OR 97401
Behavior Technician
360 S GARDEN WAY STE 250
EUGENE, OR 97401
Behavior Technician
360 S GARDEN WAY STE 250
EUGENE, OR 97401
Behavior Technician
360 S GARDEN WAY STE 250
EUGENE, OR 97401
Behavior Technician
360 S GARDEN WAY STE 250
EUGENE, OR 97401
Behavior Technician
360 S GARDEN WAY STE 250
EUGENE, OR 97401

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 Balamurali Ambati's NPI number?

The NPI number for Balamurali Ambati is 1750397576. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Balamurali Ambati located?

Balamurali Ambati practices at 360 S Garden Way Ste 250, Eugene, OR 97401. The listed phone number is (541) 343-5000.

What is Balamurali Ambati's specialty?

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

Is Balamurali Ambati enrolled in Medicare?

Yes. Balamurali Ambati 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 Balamurali Ambati accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Balamurali Ambati 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 Balamurali Ambati was last updated on June 7, 2024. 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.