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DR. HIRAL PATEL BADIWALA O.D.
NPI 1750713103
Optometrist in Elizabethtown, KY

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment
2618 RING RD STE 108, ELIZABETHTOWN, KY 42701(270) 765-1128 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hiral Patel Badiwala O.d. NPPES

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

DR. HIRAL PATEL BADIWALA O.D. (NPI 1750713103) is an individual optometrist in Elizabethtown, Kentucky, licensed in Kentucky (2082DT) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2013).

NPPES Registry Identity

NPI1750713103
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HIRAL PATEL BADIWALACredential: O.D.
Location Address2618 RING RD STE 108Elizabethtown, KY 42701-7117
Mailing Address380 Route 202Somers, NY 10589-3222 · (914) 277-5550 · Fax (914) 277-5735
Phone(270) 765-1128
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2013
Enumeration DateAugust 7, 2013
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1750713103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 2082DT
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.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2082DT (NY)
2618 RING RD STE 108, Elizabethtown, KY 42701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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. Hiral Patel Badiwala O.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 ID4486880440
PECOS Enrollment IDI20180112002324
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

LOUISVILLE OPTOMETRIC CENTERS III, PSC
Optometrist
2618 RING RD STE 108
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-1128
LOUISVILLE OPTOMETRIC CENTERS III, PSC
Eyewear Supplier
2618 RING RD STE 108
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-1128

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 Hiral Badiwala's NPI number?

The NPI number for Hiral Badiwala is 1750713103. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Hiral Badiwala located?

Hiral Badiwala practices at 2618 Ring Rd Ste 108, Elizabethtown, KY 42701. The listed phone number is (270) 765-1128.

What is Hiral Badiwala's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Hiral Badiwala enrolled in Medicare?

Yes. Hiral Badiwala 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 Hiral Badiwala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 5 other insurers list Hiral Badiwala 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 Hiral Badiwala was last updated on March 26, 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.