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DR. JEETANDRA M. ATHELLI O.D.
NPI 1902808181
Optometrist in Chantilly, VA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
14161A ROBERT PARIS CT, CHANTILLY, VA 20151(703) 631-0014(703) 449-8770 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeetandra M. Athelli O.d. NPPES

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

DR. JEETANDRA M. ATHELLI O.D. (NPI 1902808181) is an individual optometrist in Chantilly, Virginia, licensed in Virginia (0618000308) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1993).

NPPES Registry Identity

NPI1902808181
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEETANDRA M. ATHELLICredential: O.D.
Location Address14161A ROBERT PARIS CTChantilly, VA 20151-4204
Mailing Address400 Holiday Ct 207Warrenton, VA 20186-4349 · (540) 347-2217 · Fax (540) 347-0801
Phone(703) 631-0014
Fax(703) 449-8770
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 1993
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 8, 2015
✔ NPI 1902808181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618000308
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
14161A ROBERT PARIS CT, Chantilly, VA 20151
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Other Identifiers 6

Other437150VA · Anthembluecrossblueshield
Medicare PINVV33980281VA
Medicare UPINU53054VA
Medicare PIN064948VA
Medicare PIN990003364VA
Medicare PINP01022613VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Jeetandra M. Athelli O.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 ID8426128695
PECOS Enrollment IDI20080529000912, I20111005000716
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 3

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.
931 services11 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.
147 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20151 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Jeetandra Athelli's NPI number?

The NPI number for Jeetandra Athelli is 1902808181. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Jeetandra Athelli located?

Jeetandra Athelli practices at 14161A Robert Paris Ct, Chantilly, VA 20151. The listed phone number is (703) 631-0014.

What is Jeetandra Athelli's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jeetandra Athelli enrolled in Medicare?

Yes. Jeetandra Athelli 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 Jeetandra Athelli accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Jeetandra Athelli 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 Jeetandra Athelli was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.