Prashant Kapadia, OD
NPI 1265572192 · Optometrist · Brownstown, MI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashant Kapadia, OD is a Optometrist provider in Brownstown, MI (NPI 1265572192).
Provider details
- NPI number
- 1265572192
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 4901004256 (MI)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,757 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 608 | $91 |
| Photography of the Retina92250 | 235 | $37 |
| Established Patient Complete Exam of Visual System92014 | 234 | $124 |
| Imaging of Optic Nerve92133 | 196 | $33 |
| Exam of Visual Field With Extended Testing92083 | 181 | $62 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $127 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 357 | 126 |
| Timolol Maleate | 176 | 67 |
| Prednisolone Acetate | 147 | 100 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 126 | 47 |
| Brimonidine Tartrate | 88 | 36 |
| Erythromycin Basebrand: Erythromycin | 65 | 49 |
| Bimatoprost | 57 | 26 |
| Fluorometholone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$544 across 15 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
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2019-08-07
Frequently asked questions
- What is Prashant Kapadia's NPI number?
- Prashant Kapadia's National Provider Identifier (NPI) is 1265572192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashant Kapadia's specialty?
- Prashant Kapadia is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Prashant Kapadia located?
- Prashant Kapadia's practice location on file with NPPES is 19335 Allen Road, Brownstown, MI 48183.
- What is Prashant Kapadia's phone number?
- The practice phone number listed in the NPPES registry for Prashant Kapadia is (734) 479-5580.
- Does Prashant Kapadia accept Medicare?
- Prashant Kapadia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashant Kapadia's NPI active?
- Yes — Prashant Kapadia's NPI (1265572192) is active in the NPPES registry as of the last update on 2019-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.