Avani Patel
NPI 1861177420 · Optometrist · South Plainfield, NJ
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avani Patel is a Optometrist provider in South Plainfield, NJ (NPI 1861177420).
Provider details
- NPI number
- 1861177420
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 27OA00720200 (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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
16 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 Problem Focused Exam of Visual System92012 | 16 | $99 |
Typical Medicare-allowed amounts for these services range $99–$99 (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.
$199 across 7 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
- 2023-06-20
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Frequently asked questions
- What is Avani Patel's NPI number?
- Avani Patel's National Provider Identifier (NPI) is 1861177420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Avani Patel's specialty?
- Avani Patel is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Avani Patel located?
- Avani Patel's practice location on file with NPPES is 911 Oak Tree Ave, South Plainfield, NJ 07080-5130.
- What is Avani Patel's phone number?
- The practice phone number listed in the NPPES registry for Avani Patel is (908) 822-1100.
- Does Avani Patel accept Medicare?
- Avani Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Avani Patel's NPI active?
- Yes — Avani Patel's NPI (1861177420) is active in the NPPES registry as of the last update on 2023-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.