Nisha Patel, O.D.
NPI 1326396938 · Optometrist · Snellville, GA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Patel, O.D. is a Optometrist provider in Snellville, GA (NPI 1326396938).
Provider details
- NPI number
- 1326396938
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 8092T (TX)
Specialties & taxonomies
Eye and Vision Services Providers
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
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
58 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 | 32 | $90 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 13 | $56 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 13 | $126 |
Typical Medicare-allowed amounts for these services range $56–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$43 across 2 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 (2)
- 3820 Pleasant Hill Rd Ste 5Duluth, GA 30096-1429Phone: (770) 476-9585Fax: (770) 476-9586
- 4153 Lawrenceville Hwy Nw Ste 5Lilburn, GA 30047-2854Phone: (770) 921-4707Fax: (770) 925-8973
Registry dates
- Enumerated
- 2012-08-29
- Last updated
- 2021-09-24
- Certified
- 2021-09-24
Frequently asked questions
- What is Nisha Patel's NPI number?
- Nisha Patel's National Provider Identifier (NPI) is 1326396938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nisha Patel's specialty?
- Nisha Patel is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Nisha Patel located?
- Nisha Patel's practice location on file with NPPES is 2427 Main Street East, Snellville, GA 30078.
- What is Nisha Patel's phone number?
- The practice phone number listed in the NPPES registry for Nisha Patel is (770) 978-2020.
- Does Nisha Patel accept Medicare?
- Nisha Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nisha Patel's NPI active?
- Yes — Nisha Patel's NPI (1326396938) is active in the NPPES registry as of the last update on 2021-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.