MR. SUNIL THADANI MD
NPI 1790951986
Ophthalmology in Frederick, MD

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
96.72/100
CMS Quality Rating
5205 CHAIRMANS CT STE 202, FREDERICK, MD 21703(240) 575-9580 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, Nov 19, 2018, Jul 21, 2017 (3 updates tracked since 2017).

About Mr. Sunil Thadani Md NPPES

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

MR. SUNIL THADANI MD (NPI 1790951986) is an individual ophthalmology provider in Frederick, Maryland, licensed in Maryland (D0070611) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Frederick, and is a graduate of George Washington University School Of Medicine (2005).

NPPES Registry Identity

NPI1790951986
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. SUNIL THADANICredential: MD
Location Address5205 CHAIRMANS CT STE 202Frederick, MD 21703-2918
Mailing Address5205 Chairmans Ct Ste 202Frederick, MD 21703-2918 · (240) 575-9580 · Fax (240) 457-4939
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2005
Enumeration DateMay 7, 2008
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1790951986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MD · D0070611
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 · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License D0070611 (MD)
5205 CHAIRMANS CT STE 202, Frederick, MD 21703

Secondary Practice Location 1

Location 11003 W 7th St Ste 400Frederick, MD 21701-8532 · Phone (240) 575-9580 · Fax (240) 457-4939

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

Mr. Sunil Thadani 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 ID7315093564
PECOS Enrollment IDI20100810000756
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 20

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.

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.
1,077 services773 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.
867 services433 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.
504 services368 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.
449 services266 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.
320 services297 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
290 services231 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21703 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

96.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.44
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims16 services$60.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
5205 CHAIRMANS CT STE 202
FREDERICK, MD 21703
Ophthalmology (Cornea and External Diseases Specialist)
5205 CHAIRMANS CT STE 202
FREDERICK, MD 21703

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 Sunil Thadani's NPI number?

The NPI number for Sunil Thadani is 1790951986. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Sunil Thadani located?

Sunil Thadani practices at 5205 Chairmans Ct Ste 202, Frederick, MD 21703. The listed phone number is (240) 575-9580.

What is Sunil Thadani's specialty?

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

Is Sunil Thadani enrolled in Medicare?

Yes. Sunil Thadani 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.

When was this NPI record last updated?

The NPPES record for Sunil Thadani was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.