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Active NPI 1952605743 Individual Practitioner Female Practitioner

Dr. Prachi Nilesh Pathak , OD

Optometrist • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prachi Pathak, OD is a certified Optometrist practicing in Dover, DE. With approximately 16 years of clinical experience since graduating from New England College Of Optometry in 2010, Dr. Pathak delivers high-quality medical care to the local community at 885 S GOVERNORS AVE.

Dr. Pathak is affiliated with Eye Physicians And Surgeons, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

885 S Governors Ave

Dover, DE 199044158

Telephone 3027345861
Fax 3027341921
Associated Practice Facility / Clinic
🏢 Halpern Eye Associates, P. A. Facility NPI 1306187620

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dover, DE

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -6.3 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Dover, DE (166 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathak (16 Years) 16 Yrs
Dover Specialty Average (22.3 Years) 22.3 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
136 127 $145.00 $126.69
99213 Established patient office or other outpatient visit, typically 15 minutes
53 45 $100.00 $88.72
92134 Imaging of retina
45 42 $170.00 $39.69
92133 Imaging of optic nerve
43 33 $170.00 $32.81
92083 Exam of visual field with extended testing
43 37 $130.00 $61.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $123.00 $110.24

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License DE I3-0001350

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License DE I4-0000054

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Halpern Eye Asso Group Medicare
G00016 (DE)
Commercial Insurance / Payer ID Caqh
12186947
Commercial Insurance / Payer ID Halpern Opthamology Asso Group Npi
1346430360 (DE)
Commercial Insurance / Payer ID Medicare Ptan Hea
803261H16
Commercial Insurance / Payer ID Medicare Ptan Halpern Medical Services
803261H47
Commercial Insurance / Payer ID Halpern Opthamology Asso Group Medicare Id
G01047 (DE)
Commercial Insurance / Payer ID De-Permanent License Eff 02072011
I3-0001350 (DE)
Commercial Insurance / Payer ID Halpern Eye Associates Group Npi
1245251313 (DE)
Commercial Insurance / Payer ID Indiviual Npi
1952605743

Hospital & Practice Group Affiliations

Eye Physicians And Surgeons, Pa

1207 N Scott St, Wilmington, DE 198064059

Phone: 3026523353

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1093895260

Doctor of Optometry

NPI 1124128715

Doctor of Optometry

NPI 1295720522

Doctor of Optometry

NPI 1356315394

Doctor of Optometry

NPI 1356573141

Doctor of Optometry

NPI 1568551265

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2011

Registered at 885 S GOVERNORS AVE, DOVER, DE 199044158 (Tel: 3027345861)

📍
Updated Business Mailing Address June 23, 2011

Registered at 885 S GOVERNORS AVE, DOVER, DE 199044158 (Tel: 3027345861)

👤
Provider Name / Credentials Updated June 23, 2011

Recorded as PRACHI PATHAK, O. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2011

Optometrist (License #I3-0001350 in DE)

🟢
Initial NPI Registration & Enumeration January 07, 2011

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: 1952605743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2011
Last Update: June 23, 2011
Sole Proprietor: No

Mailing Address

885 S Governors Ave

Dover, DE 199044158

Phone: 3027345861

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.