Bansi Patel, OD
NPI 1215656954 · Optometrist · Manchester, NJ
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bansi Patel, OD is a Optometrist provider in Manchester, NJ (NPI 1215656954).
Provider details
- NPI number
- 1215656954
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 27OA00715400 (NJ)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
8 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
235 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Photography of the Retina92250 | 81 | $39 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $96 |
| Established Patient Complete Exam of Visual System92014 | 36 | $131 |
| New Patient Complete Exam of Visual System92004 | 30 | $157 |
| Photography of Content of Eyes92285 | 14 | $25 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 11 | $118 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 29 | — |
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$312 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (7)
- 359 Brick BlvdBrick, NJ 08723-6010Phone: (732) 920-1330Fax: (732) 920-1370
- 178 Highway 35Eatontown, NJ 07724-1883Phone: (732) 542-3050Fax: (732) 542-5999
- 3013 Highway 35Hazlet, NJ 07730-1526Phone: (732) 739-4000Fax: (732) 739-4002
- 443 Route 34 Ste FMatawan, NJ 07747-9506Phone: (732) 583-3600Fax: (732) 812-4508
- 786 Highway 35Middletown, NJ 07748-3410Phone: (732) 671-7300Fax: (732) 706-1605
- 35 Monmouth StRed Bank, NJ 07701-1613Phone: (732) 530-5151Fax: (732) 842-6629
- 2204 Highway 35 Ste 9Sea Girt, NJ 08750-2323Phone: (732) 223-2800Fax: (732) 223-5121
Registry dates
- Enumerated
- 2022-08-25
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Frequently asked questions
- What is Bansi Patel's NPI number?
- Bansi Patel's National Provider Identifier (NPI) is 1215656954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bansi Patel's specialty?
- Bansi Patel is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Bansi Patel located?
- Bansi Patel's practice location on file with NPPES is 1021 Route 70, Manchester, NJ 08759-5804.
- What is Bansi Patel's phone number?
- The practice phone number listed in the NPPES registry for Bansi Patel is (732) 657-1400.
- Does Bansi Patel accept Medicare?
- Bansi Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bansi Patel's NPI active?
- Yes — Bansi Patel's NPI (1215656954) is active in the NPPES registry as of the last update on 2023-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.