Prinal Patel, OD
NPI 1871274522 · Optometrist · Lancaster, MA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prinal Patel, OD is a Optometrist provider in Lancaster, MA (NPI 1871274522).
Provider details
- NPI number
- 1871274522
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPT5634 (MA)
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
2 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
628 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 Complete Exam of Visual System92014 | 277 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 91 | $91 |
| Photography of the Retina92250 | 61 | $37 |
| Imaging of Retina92134 | 50 | $39 |
| New Patient Complete Exam of Visual System92004 | 37 | $152 |
| Closure of Tear Duct Opening Using Plug68761 | 33 | $217 |
| Exam of Visual Field With Extended Testing |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$118 across 1 record (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 (4)
- 100 Powdermill RdActon, MA 01720-5932Phone: (978) 897-7212Fax: (978) 461-0345
- 413 Main StAthol, MA 01331-1842Phone: (978) 249-4209Fax: (978) 249-4102
- 74 Main StGardner, MA 01440-2634Phone: (978) 632-3930Fax: (978) 632-3158
- 255 Park Ave Ste 606Worcester, MA 01609-1930Phone: (508) 753-1032Fax: (508) 755-5705
Registry dates
- Enumerated
- 2023-07-26
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Frequently asked questions
- What is Prinal Patel's NPI number?
- Prinal Patel's National Provider Identifier (NPI) is 1871274522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prinal Patel's specialty?
- Prinal Patel is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Prinal Patel located?
- Prinal Patel's practice location on file with NPPES is 479 Old Union Tpke, Lancaster, MA 01523-3029.
- What is Prinal Patel's phone number?
- The practice phone number listed in the NPPES registry for Prinal Patel is (978) 539-3900.
- Does Prinal Patel accept Medicare?
- Prinal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prinal Patel's NPI active?
- Yes — Prinal Patel's NPI (1871274522) is active in the NPPES registry as of the last update on 2026-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.