Payal Kothari
NPI 1922514314 · Optometrist · Fredericksburg, VA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Payal Kothari is a Optometrist provider in Fredericksburg, VA (NPI 1922514314).
Provider details
- NPI number
- 1922514314
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0618003607 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
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 tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
916 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 259 | $91 |
| New Patient Complete Exam of Visual System92004 | 230 | $148 |
| Established Patient Complete Exam of Visual System92014 | 138 | $125 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 82 | $127 |
| Imaging of Retina92134 | 76 | $40 |
| Imaging of Optic Nerve92133 | 46 | $36 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 27 | 15 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 23 | 21 |
| Moxifloxacin Hclbrand: Moxifloxacin | 18 | 15 |
| Prednisolone Acetate | 15 | — |
| Erythromycin Basebrand: Erythromycin | 12 | — |
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.
Practice location
Mailing address
Additional practice locations (2)
- 101 Milford StSalisbury, MD 21804-6952Phone: (410) 749-9290Fax: (410) 543-9087
- 18460 Crossroad PkwyCulpeper, VA 22701-4112Phone: (540) 208-5827Fax: (540) 318-7844
Registry dates
- Enumerated
- 2017-12-20
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Payal Kothari's NPI number?
- Payal Kothari's National Provider Identifier (NPI) is 1922514314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Payal Kothari's specialty?
- Payal Kothari is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Payal Kothari located?
- Payal Kothari's practice location on file with NPPES is 927 Maple Grove Dr Ste 209, Fredericksburg, VA 22407-6936.
- What is Payal Kothari's phone number?
- The practice phone number listed in the NPPES registry for Payal Kothari is (540) 208-5827.
- Does Payal Kothari accept Medicare?
- Payal Kothari is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Payal Kothari's NPI active?
- Yes — Payal Kothari's NPI (1922514314) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.