Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSEPH PRAVOOT GIRA MD
NPI 1861481152
Ophthalmology in Des Peres, MO

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
75.65/100
CMS Quality Rating
12990 MANCHESTER RD STE 201, DES PERES, MO 63131(314) 909-0633(314) 909-0391 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Jul 14, 2026, Jun 25, 2025 and 2 more (5 updates tracked since 2021).

About Joseph Pravoot Gira Md NPPES

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

JOSEPH PRAVOOT GIRA MD (NPI 1861481152) is an individual ophthalmology provider in Des Peres, Missouri, licensed in Missouri (108456) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1995).

NPPES Registry Identity

NPI1861481152
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSEPH PRAVOOT GIRACredential: MD
Location Address12990 MANCHESTER RD STE 201Des Peres, MO 63131-1860
Mailing Address12990 Manchester Rd Ste 201Des Peres, MO 63131-1860 · (314) 909-0633 · Fax (314) 909-0391
Fax(314) 909-0391
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1995
Enumeration DateOctober 19, 2005
Last NPPES UpdateSeptember 24, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1861481152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MO · 108456✔ Licensed in NC · 2018-01927✔ Licensed in AL · MD.51039
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.
12990 MANCHESTER RD STE 201, Des Peres, MO 63131

Secondary Practice Locations 4

Location 1646 Cox Creek Pkwy Ste AFlorence, AL 35630-1189 · Phone (256) 760-1771
Location 21406 McFarland Blvd N Ste 1BTuscaloosa, AL 35406-2294 · Phone (205) 556-2121
Location 3720 SE Maynard RdCary, NC 27511-5720 · Phone (919) 467-0959
Location 43810 Governor's Dr SW, Suite 200Huntsville, AL 35805 · Phone (256) 678-7969 · Fax (256) 678-7970

Other Identifiers 4

Other121629MO · Bcbs
Medicaid204686703MO
Medicaid1861481152MO
Other406080MO · Healthlink

Accepted 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

Joseph Pravoot Gira 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 ID1759346562
PECOS Enrollment IDI20051230000081, I20250501002589
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 Reassignments

6

Medicare enrollment records show Joseph Gira reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
12990 MANCHESTER RD STE 201
Des Peres, MO 63131
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Also billed through NPI 1003960980 (Missouri)
  • 2 clinicians in this Medicare group
Optometrist
101 WEST 29TH ST, STE C
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 45 clinicians in this Medicare group
Ophthalmology
646 COX CREEK PKWY STE A
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 11 clinicians in this Medicare group
Ophthalmology
535 JACK WARNER PKWY NE STE B1
Tuscaloosa, AL 35404
  • Reassigned Medicare billing, Alabama enrollment
  • 8 clinicians in this Medicare group
Ophthalmology
720 SE MAYNARD RD
Cary, NC 27511
  • Reassigned Medicare billing, North Carolina enrollment
Optometrist
2040 E RIO SALADO PKWY STE 120
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 139 clinicians in this Medicare group

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 11

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.

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.
621 services355 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.
233 services192 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
212 services195 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
151 services150 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.
140 services140 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.
76 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

75.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability89
Improvement Activities40
Cost28.06

Other Providers at the Same Location NPPES 5

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

Durable Medical Equipment & Medical Supplies
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131

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 Joseph Gira's NPI number?

The NPI number for Joseph Gira is 1861481152. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Joseph Gira located?

Joseph Gira practices at 12990 Manchester Rd Ste 201, Des Peres, MO 63131. The listed phone number is (314) 909-0633.

What is Joseph Gira's specialty?

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

Is Joseph Gira enrolled in Medicare?

Yes. Joseph Gira 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 organizations bill Medicare for Joseph Gira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Gira reassigns Medicare benefits to 6 organizations: Ophthalmology Consultants, LLC (Des Peres, MO), Grene Vision Group LLC (Pittsburg, KS), Florence Ophthalmology LLC (Florence, AL), Tuscaloosa Ophthalmology, Inc. (Tuscaloosa, AL), Epic Eye, PLLC (Cary, NC) and 1 more organization, listed in the Medicare section above. Each 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 Joseph Gira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Gira accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Arizona and 16 other insurers list Joseph Gira 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 Joseph Gira was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.