ANANTH V MUDGIL M.D.
NPI 1821190877
Ophthalmology in West Chester, PA

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
74.51/100
CMS Quality Rating
795 E MARSHALL ST STE 103, WEST CHESTER, PA 19380(610) 429-3004(610) 429-3120 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ananth V Mudgil M.d. NPPES

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

ANANTH V MUDGIL M.D. (NPI 1821190877) is an individual ophthalmology provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD417671) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and is a graduate of Albany Medical College Of Union University (1993).

NPPES Registry Identity

NPI1821190877
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANANTH V MUDGILCredential: M.D.
Location Address795 E MARSHALL ST STE 103West Chester, PA 19380-4400
Mailing Address795 E Marshall St Ste 103West Chester, PA 19380-4400 · (610) 429-3004 · Fax (610) 429-3120
Fax(610) 429-3120
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1993
Enumeration DateSeptember 1, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
NPI 1821190877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD417671 Licensed in DE · C10006233
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 · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License MD417671 (PA)
795 E MARSHALL ST STE 103, West Chester, PA 19380

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

Ananth V Mudgil 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 ID9133110554
PECOS Enrollment IDI20080229000395
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 16

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 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.
550 services503 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
513 services503 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.
435 services241 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.
410 services300 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
388 services319 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.
284 services284 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

74.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost15.05

Reported Quality Measures

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
95%58 patients4/55-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 4

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

Optometrist
795 E MARSHALL ST STE 103
WEST CHESTER, PA 19380
Optometrist
795 E MARSHALL ST STE 103
WEST CHESTER, PA 19380
Ophthalmology
795 E MARSHALL ST STE 103
WEST CHESTER, PA 19380
Optometrist
795 E MARSHALL ST STE 103
WEST CHESTER, PA 19380

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 Ananth Mudgil's NPI number?

The NPI number for Ananth Mudgil is 1821190877. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Ananth Mudgil located?

Ananth Mudgil practices at 795 E Marshall St Ste 103, West Chester, PA 19380. The listed phone number is (610) 429-3004.

What is Ananth Mudgil's specialty?

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

Is Ananth Mudgil enrolled in Medicare?

Yes. Ananth Mudgil 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 Ananth Mudgil accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Ananth Mudgil 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.

Is Ananth Mudgil affiliated with any hospitals?

According to CMS data, Ananth Mudgil is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Ananth Mudgil was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.