Active NPI 1306282389 Individual Practitioner Male Practitioner

Dr. Achal Patel , MD

Ophthalmology • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Achal Patel, MD is a certified Ophthalmology practicing in Phoenix, AZ. With approximately 13 years of clinical experience since graduating from Boston University School Of Medicine in 2013, Dr. Patel delivers high-quality medical care to the local community at 15600 N BLACK CANYON HWY # C-102.

Dr. Patel is affiliated with Phoenician Eye Specialists and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, photography of content of eyes. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15600 N Black Canyon Hwy # C-102

Phoenix, AZ 850534055

Telephone 6232322762

Associated Practice Facility / Clinic

🏢 Phoenician Eye Specialists Facility NPI 1093324956

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Phoenix, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -11.1 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

100 Specialists

Practicing in Phoenix, AZ (384 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (13 Years) 13 Yrs

Phoenix Specialty Average (24.1 Years) 24.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	571	392	$238.68	$122.91
99213 Established patient office or other outpatient visit, typically 15 minutes	374	214	$154.05	$86.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	282	282	$347.73	$160.21
92285 Photography of content of eyes	273	208	$50.88	$21.98
92134 Imaging of retina	261	245	$102.42	$37.39
92250 Photography of the retina	202	195	$168.92	$34.80
68761 Closure of tear duct opening using plug	181	63	$368.20	$106.76
92136 Measurement of corneal curvature and depth of eye	161	159	$177.08	$44.36
66984 Removal of cataract with insertion of lens	158	95	$1316.32	$485.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	98	84	$41.50	$15.68
92133 Imaging of optic nerve	81	81	$102.84	$33.14
92083 Exam of visual field with extended testing	74	73	$155.04	$60.48
66821 Removal of recurring cataract in lens capsule using a laser	59	51	$612.63	$295.12
66982 Complex removal of cataract with insertion of prosthetic lens	31	24	$1643.97	$679.15
65778 Insertion of amniotic membrane to eye surface	27	22	$3050.00	$1030.36
92020 Examination of cornea and iris using lens device and slit lamp	26	23	$61.64	$26.20
76514 Ultrasound scan of cornea to determine thickness	25	25	$30.00	$10.21
92025 Ct scan of cornea	23	21	$88.57	$34.06
67820 Removal of eyelashes using forceps	17	12	$115.18	$18.40
92132 Imaging of front third of eye	15	12	$50.00	$29.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	622	354	$238.66	$123.78
99213 Established patient office or other outpatient visit, typically 15 minutes	330	188	$154.34	$87.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	284	284	$363.88	$161.46
92285 Photography of content of eyes	235	173	$50.88	$22.02
92134 Imaging of retina	226	207	$105.32	$38.94
68761 Closure of tear duct opening using plug	226	81	$368.20	$109.24
92250 Photography of the retina	220	209	$168.92	$36.04
92136 Measurement of corneal curvature and depth of eye	157	99	$200.00	$31.32
66984 Removal of cataract with insertion of lens	103	64	$1496.79	$507.46
92133 Imaging of optic nerve	94	92	$102.84	$35.24
92083 Exam of visual field with extended testing	85	83	$155.04	$60.39
76514 Ultrasound scan of cornea to determine thickness	68	50	$30.00	$8.29
66821 Removal of recurring cataract in lens capsule using a laser	51	42	$615.20	$298.42
92025 Ct scan of cornea	36	36	$90.10	$34.64
65778 Insertion of amniotic membrane to eye surface	33	25	$3050.00	$1276.26
92020 Examination of cornea and iris using lens device and slit lamp	32	30	$61.64	$26.78
92132 Imaging of front third of eye	22	16	$50.00	$29.01
66982 Complex removal of cataract with insertion of prosthetic lens	18	15	$1625.17	$684.12
92060 Exam to measure eye deviation and range of motion	12	11	$150.00	$61.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	432	276	$238.91	$124.70
99213 Established patient office or other outpatient visit, typically 15 minutes	361	192	$161.50	$88.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	283	283	$363.88	$163.39
92250 Photography of the retina	222	206	$168.92	$35.58
92285 Photography of content of eyes	202	141	$50.88	$22.09
92134 Imaging of retina	189	161	$105.32	$38.43
68761 Closure of tear duct opening using plug	171	70	$362.87	$112.05
92136 Measurement of corneal curvature and depth of eye	103	87	$200.00	$43.06
66984 Removal of cataract with insertion of lens	94	59	$1500.00	$519.67
92133 Imaging of optic nerve	74	71	$102.84	$35.27
76514 Ultrasound scan of cornea to determine thickness	68	65	$30.00	$10.61
92083 Exam of visual field with extended testing	61	59	$155.04	$60.78
92020 Examination of cornea and iris using lens device and slit lamp	49	46	$61.64	$27.31
66821 Removal of recurring cataract in lens capsule using a laser	44	31	$625.00	$296.92
92025 Ct scan of cornea	40	38	$90.10	$34.46
65778 Insertion of amniotic membrane to eye surface	26	21	$3050.00	$1330.04
92132 Imaging of front third of eye	25	21	$50.00	$30.03
92060 Exam to measure eye deviation and range of motion	19	15	$150.00	$60.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	153	$240.36	$128.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	262	262	$363.88	$166.08
92285 Photography of content of eyes	235	146	$50.88	$22.36
99213 Established patient office or other outpatient visit, typically 15 minutes	187	105	$162.30	$90.59
92134 Imaging of retina	168	150	$105.32	$38.91
68761 Closure of tear duct opening using plug	140	50	$363.54	$116.97
92250 Photography of the retina	130	119	$168.43	$38.18
92136 Measurement of corneal curvature and depth of eye	64	52	$196.89	$54.09
76514 Ultrasound scan of cornea to determine thickness	60	50	$30.00	$10.96
66984 Removal of cataract with insertion of lens	56	34	$1500.00	$538.14
92020 Examination of cornea and iris using lens device and slit lamp	51	45	$61.64	$27.78
92133 Imaging of optic nerve	42	38	$107.22	$35.42
92083 Exam of visual field with extended testing	34	30	$155.04	$62.55
65778 Insertion of amniotic membrane to eye surface	32	25	$3050.00	$1438.50
92025 Ct scan of cornea	29	27	$90.10	$34.57
92132 Imaging of front third of eye	23	18	$50.00	$29.37
66821 Removal of recurring cataract in lens capsule using a laser	20	15	$612.50	$298.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	519	267	$73.56	$72.54
76514 Ultrasound scan of cornea to determine thickness	73	53	$12.00	$11.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$109.40	$105.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$196.90	$162.54
68761 Closure of tear duct opening using plug	39	26	$125.21	$114.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$123.01	$107.46
65778 Insertion of amniotic membrane to eye surface	31	26	$1403.00	$1371.84
66821 Removal of recurring cataract in lens capsule using a laser	27	20	$337.26	$304.38
66984 Removal of cataract with insertion of lens	26	18	$641.00	$489.92
92136 Measurement of corneal curvature and depth of eye	17	14	$64.41	$52.45
65756 Transplantation of outer layer of corneal tissue	16	13	$1189.00	$1173.98
92025 Ct scan of cornea	11	11	$38.18	$35.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	391	264	$73.22	$71.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	214	$108.23	$105.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	216	216	$162.83	$160.47
76514 Ultrasound scan of cornea to determine thickness	124	87	$12.12	$11.83
68761 Closure of tear duct opening using plug	88	47	$130.32	$113.78
66984 Removal of cataract with insertion of lens	50	36	$640.76	$594.04
92136 Measurement of corneal curvature and depth of eye	36	26	$51.31	$49.33
92025 Ct scan of cornea	31	29	$46.81	$36.17
65778 Insertion of amniotic membrane to eye surface	30	24	$1442.80	$1380.76
67820 Removal of eyelashes using forceps	23	16	$32.00	$30.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$106.94	$105.36
65756 Transplantation of outer layer of corneal tissue	17	15	$1189.00	$1149.50
66821 Removal of recurring cataract in lens capsule using a laser	17	14	$329.71	$306.87
76519 Ultrasound of eye for determination of lens power	15	15	$67.00	$59.58
65430 Scraping of cornea for diagnosis	12	12	$116.83	$110.17
65800 Removal of eye fluid	12	12	$135.00	$111.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	84	$74.96	$70.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$174.17	$158.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	55	$115.58	$105.58
92012 Established patient problem focused exam of visual system	36	26	$270.00	$91.14
76514 Ultrasound scan of cornea to determine thickness	30	29	$18.17	$14.69
68761 Closure of tear duct opening using plug	21	13	$174.00	$120.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$107.27	$104.39
92136 Measurement of corneal curvature and depth of eye	14	14	$61.21	$60.26
92014 Established patient complete exam of visual system	12	12	$390.00	$134.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	16	14	$270.00	$89.84
92014 Established patient complete exam of visual system	14	13	$390.00	$130.02

Medical Specialties & State Licenses

CMS Verified: 2020-11-02

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 55634

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License AZ R73779

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License CA A148268

Hospital & Practice Group Affiliations

Phoenician Eye Specialists

15600 N Black Canyon Hwy, Phoenix, AZ 850534055

Phone: 6232322762

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location November 02, 2020

Registered at 15600 N BLACK CANYON HWY # C-102, PHOENIX, AZ 850534055 (Tel: 6232322762)

📍

Updated Business Mailing Address November 02, 2020

Registered at 15600 N BLACK CANYON HWY, # C-102, PHOENIX, AZ 850534055 (Tel: 6232322762)

📍

Updated Practice Location April 03, 2018

Registered at 3815 E BELL RD STE 2500, PHOENIX, AZ 850322151 (Tel: 6022584321)

📍

Updated Business Mailing Address April 03, 2018

Registered at 3815 E BELL RD STE 2500, PHOENIX, AZ 850322151 (Tel: 6022584321)

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address June 28, 2017

Registered at PO BOX 232410, SAN DIEGO, CA 921932410 (Tel: 8582496749)

📍

Updated Practice Location June 28, 2017

Registered at 3607 E WOODLAND DR, PHOENIX, AZ 850487331 (Tel: 4807061466)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as ACHAL PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Internal Medicine (License #R73779 in AZ)

✅

NPI Profile Active May 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2013

Registered at 3607 E WOODLAND DR, PHOENIX, AZ 850487331 (Tel: 4807061466)

📍

Updated Business Mailing Address May 16, 2013

Registered at 3607 E WOODLAND DR, PHOENIX, AZ 850487331 (Tel: 4807061466)

👤

Provider Name / Credentials Updated May 16, 2013

Recorded as ACHAL PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2013

Internal Medicine (License #R73779 in AZ)

🟢

Initial NPI Registration & Enumeration May 16, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306282389

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2013

Last Update: November 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15600 N Black Canyon Hwy, # C-102

Phoenix, AZ 850534055

Phone: 6232322762

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.