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

Q: 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.

Q: What is Sugat Patel's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

Phone(614) 339-8500

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

Open in Google Maps ↗

Other Identifiers 2

Medicaid2396321OH

Other000000276897OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sugat Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Retina, Inc

Same address

Ophthalmology

6655 POST RD
Dublin, OH 43016

Reassigned Medicare billing, Ohio enrollment
12 clinicians in this Medicare group

NPI 1699846535 (614) 339-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

190 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

157 services157 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

126 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

76 services74 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.

71 services69 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

24 services24 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

23 services20 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.

23 services22 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

20 services19 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

13 services13 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

12 services12 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

Quality

98.12

Promoting Interoperability

100

Improvement Activities

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.

ASHLEY PAPESH PLACE DDS

Dentist

6655 POST RD, SUITE A
DUBLIN, OH 43016

Franklin County (614) 336-7643

ERIC RUFF MD

Ophthalmology

6655 POST RD
DUBLIN, OH 43016

Franklin County (614) 339-8500

VISHAL SANJAY PARIKH MD

Ophthalmology (Retina Specialist)

6655 POST RD
DUBLIN, OH 43016

Franklin County (614) 339-8500

DR. DOMINIC MICHAEL BUZZACCO M.D.

Ophthalmology (Retina Specialist)

6655 POST RD
DUBLIN, OH 43016

Franklin County (614) 339-8500

DINO DANIEL KLISOVIC M.D.

Ophthalmology (Retina Specialist)

6655 POST RD
DUBLIN, OH 43016

Franklin County (614) 339-8500

LOUIS J CHORICH III MD

Ophthalmology (Retina Specialist)

6655 POST RD
DUBLIN, OH 43016

Franklin County (614) 339-8500

DR. ROBERT B CHAMBERS DO

Ophthalmology

6655 POST RD
DUBLIN, OH 43016

Franklin County (614) 339-8500

MIDWEST RETINA, INC

Ophthalmology

6655 POST RD
DUBLIN, OH 43016

Franklin County (614) 339-8500

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.

Which organization bills Medicare for Sugat Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sugat Patel reassigns Medicare benefits to Midwest Retina, Inc (Dublin, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sugat Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sugat Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance and 1 other insurer 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.