CHETANKUMAR B PATEL M.D.
NPI 1851393466
Ophthalmology in Frederick, MD

Q: What is Chetankumar Patel's NPI number?

The NPI number for Chetankumar Patel is 1851393466. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Chetankumar Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chetankumar Patel was last updated on May 22, 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.

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

7101 GUILFORD DR, SUITE 201, FREDERICK, MD 21704(301) 662-2775(301) 662-2776 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chetankumar B Patel M.d. NPPES

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

CHETANKUMAR B PATEL M.D. (NPI 1851393466) is an individual ophthalmology provider in Frederick, Maryland, licensed in Maryland (64822) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of University Of Florida College Of Medicine (2000).

NPPES Registry Identity

NPI1851393466

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameCHETANKUMAR B PATELCredential: M.D.

Location Address7101 GUILFORD DR, SUITE 201Frederick, MD 21704-5193

Mailing Address7101 Guilford Dr, Suite 201Frederick, MD 21704-5193 · (301) 662-2775 · Fax (301) 662-2776

Phone(301) 662-2775

Fax(301) 662-2776

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2000

Enumeration DateAugust 12, 2005

Last NPPES UpdateMay 22, 2020

NPPES CertifiedMay 22, 2020

✔ NPI 1851393466 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 · 64822

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 · Retina SpecialistTaxonomy 207WX0107X · License 64822 (MD)

7101 GUILFORD DR, Frederick, MD 21704

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Other Identifiers 3

Medicaid0440115IA

Medicaid012122300MD

Other36448IA · Wellmark Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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

Chetankumar B Patel 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 ID5193703601

PECOS Enrollment IDI20061102000031, I20061204000045, I20170727003854

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 12

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.

29,725 services86 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.

3,808 services1,021 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.

3,433 services841 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.

3,008 services336 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.

1,933 services794 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.

837 services476 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

292 services39 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.

258 services181 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.

165 services165 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

72 services38 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

47 services27 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21704 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

90%1,709 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

100%449 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

100%93 patients

Documentation of Current Medications in the Medical Record

68%9,994 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

55%1,677 patients3/55-star benchmark: 100%

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%31 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 38% · 1,335 patients

Patients screened: 38% · 1,335 patients

100%27 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%165 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,737 patients

Patients totalRate: 0% · 1,737 patients

0%1,737 patients5/55-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 7

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

DRS STROH & BUTLER PA

Podiatrist

7101 GUILFORD DR, #204
FREDERICK, MD 21704

Frederick County (301) 663-6861

MEDPSYCH HEALTH SERVICES LLC

Psychiatry & Neurology (Psychiatry)

7101 GUILFORD DR, SUITE 100
FREDERICK, MD 21704

Frederick County (240) 464-8000

MANN & HENRY PODIATRY SERVICES, LLC

Podiatrist

7101 GUILFORD DR, SUITE 204
FREDERICK, MD 21704

Frederick County (301) 694-8880

MEDPSYCH BEHAVIORAL HEALTH LLC

Counselor (Mental Health)

7101 GUILFORD DR, SUITE 100
FREDERICK, MD 21704

Frederick County (240) 464-8000

DR. APURVA MAKADIYA M.D.,MBBS.

Psychiatry & Neurology (Psychiatry)

7101 GUILFORD DR, SUITE 100
FREDERICK, MD 21704

Frederick County (240) 464-8000

C B PATEL, MD, PA

Ophthalmology

7101 GUILFORD DR, STE 201
FREDERICK, MD 21704

Frederick County (240) 463-7724

DR. ALAN CORNFIELD NEW DESIGN CHIROPRACTIC AND REHABILITATION CENTERPA

Chiropractor

7101 GUILFORD DR, SUITE 105
FREDERICK, MD 21704

Frederick County (301) 631-5910

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 Chetankumar Patel's NPI number?

The NPI number for Chetankumar Patel is 1851393466. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Chetankumar Patel located?

Chetankumar Patel practices at 7101 Guilford Dr Suite 201, Frederick, MD 21704. The listed phone number is (301) 662-2775.

What is Chetankumar Patel's specialty?

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

Is Chetankumar Patel enrolled in Medicare?

Yes. Chetankumar 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 Chetankumar Patel accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Chetankumar 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.

Is Chetankumar Patel affiliated with any hospitals?

According to CMS data, Chetankumar Patel is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Chetankumar Patel was last updated on May 22, 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.