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DR. DILIP RATHINASAMY M.D.
NPI 1750594628
Ophthalmology in Brandon, FL

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
94.59/100
CMS Quality Rating
403 VONDERBURG DR, BRANDON, FL 33511(813) 681-1122(813) 684-4924 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dilip Rathinasamy M.d. NPPES

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

DR. DILIP RATHINASAMY M.D. (NPI 1750594628) is an individual ophthalmology provider in Brandon, Florida, licensed in Florida (ME98257) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of South Florida College Of Medicine (2003).

NPPES Registry Identity

NPI1750594628
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DILIP RATHINASAMYCredential: M.D.
Location Address403 VONDERBURG DRBrandon, FL 33511-5982
Mailing Address307 S Bungalow Park Ave, Unit BTampa, FL 33609-3159 · (813) 878-2020 · Fax (813) 249-2020
Phone(813) 681-1122
Fax(813) 684-4924
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2003
Enumeration DateMay 8, 2007
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1750594628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME98257
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.
403 VONDERBURG DR, Brandon, FL 33511
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Secondary Practice Locations 3

Location 1612 N Tamiami TrlRuskin, FL 33570-3769 · Phone (813) 645-3831 · Fax (813) 645-4402
Location 23115 W Swann AveTampa, FL 33609-4617 · Phone (813) 492-2020 · Fax (813) 492-2099
Location 3325 S Parsons AveBrandon, FL 33511-5228 · Phone (813) 876-2020 · Fax (813) 249-2020

Other Identifiers 1

Medicaid000121500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Dilip Rathinasamy M.d. 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 ID7517055197
PECOS Enrollment IDI20071115000121
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 9

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.

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.
428 services198 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.
327 services224 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.
319 services303 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.
102 services94 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
92 services68 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
89 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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.

94.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.1
Promoting Interoperability100
Improvement Activities40
Cost82.87

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
72%144 patients3/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
99%144 patients4/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
99%153 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%164 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,160 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%152 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
74%472 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%117 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%340 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%325 patients3/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 93% · 309 patients
98%310 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
61%340 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
66%340 patients4/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 466 patients
0%466 patients5/55-star benchmark: 100%
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 20

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

DINO S TSILIONIS OD
Optometrist
403 VONDERBURG DR
BRANDON, FL 33511
Hillsborough County (813) 681-1122
MS. MARISSA LYNN LEVY AUD
Audiologist
403 VONDERBURG DR
BRANDON, FL 33511
Hillsborough County (813) 681-1122
DAVID S NICHOLS M.D.
Ophthalmology
403 VONDERBURG DR, STE 101
BRANDON, FL 33511
Hillsborough County (813) 681-1122
WILLIAM A REEVES M.D.
Ophthalmology
403 VONDERBURG DR
BRANDON, FL 33511
Hillsborough County (813) 681-1122
DR. RONNI M CHEN MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
403 VONDERBURG DR, 101
BRANDON, FL 33511
Hillsborough County (813) 681-1122
LAUREN A FESSLER AU.D.
Audiologist
403 VONDERBURG DR
BRANDON, FL 33511
Hillsborough County (813) 681-1122
GREGORY L HENDERSON MD FACS INC
Ophthalmology
403 VONDERBURG DR
BRANDON, FL 33511
Hillsborough County (813) 681-1122
JOSE PEREZ GONZALEZ DE APODACA M.D./PH.D
Ophthalmology
403 VONDERBURG DR
BRANDON, FL 33511
Hillsborough County (813) 681-1122

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 Dilip Rathinasamy's NPI number?

The NPI number for Dilip Rathinasamy is 1750594628. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Dilip Rathinasamy located?

Dilip Rathinasamy practices at 403 Vonderburg Dr, Brandon, FL 33511. The listed phone number is (813) 681-1122.

What is Dilip Rathinasamy's specialty?

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

Is Dilip Rathinasamy enrolled in Medicare?

Yes. Dilip Rathinasamy 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 Dilip Rathinasamy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Dilip Rathinasamy 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 Dilip Rathinasamy was last updated on September 11, 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.