DR. SUGAT SIDDHARTH PATEL MD
NPI 1831288448
Ophthalmology - Retina Specialist in Dublin, OH

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
98.97/100
CMS Quality Rating
6655 POST RD, DUBLIN, OH 43016(614) 339-8500(614) 339-8501 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sugat Siddharth Patel Md NPPES

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

DR. SUGAT SIDDHARTH PATEL MD (NPI 1831288448) is an individual retina specialist in Dublin, Ohio, licensed in Ohio (358241P) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1993).

NPPES Registry Identity

NPI1831288448
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. SUGAT SIDDHARTH PATELCredential: MD
Location Address6655 POST RDDublin, OH 43016-8214
Mailing Address6655 Post RdDublin, OH 43016-8214 · (614) 339-8500 · Fax (614) 339-8501
Fax(614) 339-8501
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1993
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 30, 2021
NPPES CertifiedApril 30, 2021
NPI 1831288448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in OH · 358241P
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 3582414P (OH)
6655 POST RD, Dublin, OH 43016

Other Identifiers 2

Medicaid2396321OH
Other000000276897OH · Anthem

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. Sugat Siddharth Patel 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 ID4587631262
PECOS Enrollment IDI20040913000784
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 18

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
14,280 services60 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.
2,202 services856 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,706 services399 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,442 services184 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.
777 services584 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
487 services173 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43016 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

98.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.12
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Dentist
6655 POST RD, SUITE A
DUBLIN, OH 43016
Ophthalmology
6655 POST RD
DUBLIN, OH 43016
Ophthalmology (Retina Specialist)
6655 POST RD
DUBLIN, OH 43016
Ophthalmology (Retina Specialist)
6655 POST RD
DUBLIN, OH 43016
Ophthalmology (Retina Specialist)
6655 POST RD
DUBLIN, OH 43016
Ophthalmology (Retina Specialist)
6655 POST RD
DUBLIN, OH 43016
Ophthalmology
6655 POST RD
DUBLIN, OH 43016
Ophthalmology
6655 POST RD
DUBLIN, OH 43016

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 Sugat Patel's NPI number?

The NPI number for Sugat Patel is 1831288448. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Sugat Patel located?

Sugat Patel practices at 6655 Post Rd, Dublin, OH 43016. The listed phone number is (614) 339-8500.

What is Sugat Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sugat Patel enrolled in Medicare?

Yes. Sugat Patel 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 Sugat Patel accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and UnitedHealthcare list Sugat Patel 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 Sugat Patel was last updated on April 30, 2021. 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.