Active NPI 1164622874 Individual Practitioner Female Practitioner

Dr. Grishma Premal Patel , OD

Optometrist • Wheaton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Grishma Patel, OD is a certified Optometrist practicing in Wheaton, IL. With approximately 22 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2004, Dr. Patel delivers high-quality medical care to the local community at 1325 N MAIN ST.

Dr. Patel maintains professional affiliations with Advanced Eyecare South Holland Od And Associates Pc, Grishma P. Patel, O.D. And Associates, P.C., Advanced Eyecare Of Hanover Park Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1325 N Main St

Wheaton, IL 601873579

Telephone 6306684144

Fax 6306687559

Associated Practice Facility / Clinic

🏢 Grishma P. Patel, O.d. & Associates, P.c. Facility NPI 1134453897

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Wheaton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +10.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

23 Specialists

Practicing in Wheaton, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (22 Years) 22 Yrs

Wheaton Specialty Average (12.0 Years) 12.0 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
92014 Established patient complete exam of visual system	132	132	$145.00	$127.36
92250 Photography of the retina	115	113	$150.00	$37.55
99213 Established patient office or other outpatient visit, typically 15 minutes	98	81	$110.00	$93.23
68761 Closure of tear duct opening using plug	68	24	$275.00	$111.48
92134 Imaging of retina	27	27	$92.00	$40.45
92004 New patient complete exam of visual system	21	21	$175.00	$148.52
92083 Exam of visual field with extended testing	21	20	$150.00	$64.84
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$50.00	$27.87
92133 Imaging of optic nerve	12	12	$92.00	$34.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	111	111	$145.00	$129.92
92250 Photography of the retina	100	96	$150.00	$38.18
99213 Established patient office or other outpatient visit, typically 15 minutes	76	63	$110.00	$93.36
68761 Closure of tear duct opening using plug	62	24	$275.00	$113.67
92004 New patient complete exam of visual system	19	19	$175.00	$154.18
92134 Imaging of retina	19	19	$92.00	$41.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$65.00	$58.14
92083 Exam of visual field with extended testing	14	14	$150.00	$64.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$150.00	$131.93
92285 Photography of content of eyes	13	12	$75.00	$24.50
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$50.00	$28.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	92	92	$145.00	$132.64
92250 Photography of the retina	91	86	$150.00	$38.75
99213 Established patient office or other outpatient visit, typically 15 minutes	62	41	$102.10	$95.69
68761 Closure of tear duct opening using plug	54	17	$275.00	$117.38
92004 New patient complete exam of visual system	20	20	$175.00	$155.51
92083 Exam of visual field with extended testing	13	11	$150.00	$66.26
92285 Photography of content of eyes	12	12	$75.00	$24.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$125.00	$124.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$65.00	$60.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	91	91	$145.00	$133.74
92250 Photography of the retina	85	78	$150.00	$41.25
68761 Closure of tear duct opening using plug	48	19	$275.00	$120.42
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$90.39	$89.83
92004 New patient complete exam of visual system	36	36	$175.00	$156.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$122.33	$122.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$55.00	$54.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	103	101	$145.00	$131.59
92250 Photography of the retina	91	87	$150.00	$46.76
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$84.35	$77.71
68761 Closure of tear duct opening using plug	47	18	$275.00	$117.06
92004 New patient complete exam of visual system	25	25	$175.00	$155.01
92083 Exam of visual field with extended testing	24	20	$150.00	$64.33
92012 Established patient problem focused exam of visual system	16	16	$120.00	$91.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$50.36	$47.01
76514 Ultrasound scan of cornea to determine thickness	11	11	$30.00	$12.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	114	114	$145.00	$131.00
92250 Photography of the retina	71	69	$150.00	$50.89
92012 Established patient problem focused exam of visual system	28	28	$112.68	$90.40
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$80.00	$75.34
92004 New patient complete exam of visual system	27	27	$175.00	$154.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$50.31	$45.42
92083 Exam of visual field with extended testing	23	22	$150.00	$64.89
76514 Ultrasound scan of cornea to determine thickness	16	16	$30.00	$12.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	131	131	$145.23	$122.15
92250 Photography of the retina	87	83	$150.00	$54.81
92004 New patient complete exam of visual system	42	42	$175.00	$145.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	25	$55.22	$42.85
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$80.00	$69.97
92012 Established patient problem focused exam of visual system	19	18	$105.00	$84.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	111	107	$150.00	$63.37
92014 Established patient complete exam of visual system	109	109	$145.00	$119.48
92004 New patient complete exam of visual system	41	41	$175.00	$142.81
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$80.00	$68.97
92012 Established patient problem focused exam of visual system	31	28	$105.00	$79.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$52.92	$40.81
92225 Examination of eye by ophthalmoscope with retinal drawing	16	11	$59.00	$27.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$120.00	$101.40
92083 Exam of visual field with extended testing	11	11	$150.00	$53.47

Medical Specialties & State Licenses

CMS Verified: 2024-02-21

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046009678

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 - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License IL 046-009678

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046009678 (IL)

Hospital & Practice Group Affiliations

Grishma P. Patel, O.d. And Associates, P.c.

155 Park Ave, Cary, IL 600132793

Phone: 8476397446

Grishma P. Patel, O.d. And Associates, P.c.

1325 N Main St, Wheaton, IL 601873579

Phone: 6306684144

Advanced Eyecare South Holland Od And Associates Pc

835 E 162nd St, South Holland, IL 604732465

Phone: 7083334444

Advanced Eyecare Of Riverwoods Corp

2013 Milwaukee Ave, Riverwoods, IL 600153581

Phone: 2246761022

Advanced Eyecare Of Hanover Park Corp

1156 E Lake St, Hanover Park, IL 601335421

Phone: 6308555542

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Conrad Stoll , OD

Optometrist

NPI 1750472593

Doctor of Optometry

Dr. Rooda Ahmed , OD

Optometrist

NPI 1841576253

Doctor of Optometry

Career & Practice History Timeline

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

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2024

Optometrist (License #046-009678 in IL)

📍

Updated Practice Location October 09, 2018

Registered at 1325 N MAIN ST, WHEATON, IL 601873579 (Tel: 6306684144)

📍

Updated Business Mailing Address October 09, 2018

Registered at 1325 N MAIN ST, WHEATON, IL 601873579 (Tel: 6306684144)

✅

NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2017

Registered at 214 W FRONT ST, WHEATON, IL 601875111 (Tel: 6306684144)

📍

Updated Business Mailing Address September 26, 2017

Registered at 214 W FRONT ST, WHEATON, IL 601875111 (Tel: 6306684144)

👤

Provider Name / Credentials Updated September 26, 2017

Recorded as GRISHMA PATEL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Optometrist (License #046009678 in IL)

✅

NPI Profile Active October 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2011

Registered at 214 W FRONT ST, WHEATON, IL 601875111 (Tel: 6306684144)

📍

Updated Business Mailing Address October 25, 2011

Registered at 214 W FRONT ST, WHEATON, IL 601875111 (Tel: 6306684144)

👤

Provider Name / Credentials Updated October 25, 2011

Recorded as GRISHMA PATEL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2011

Optometrist (License #046-009678 in IL)

🟢

Initial NPI Registration & Enumeration July 20, 2007

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: 1164622874

Entity Type:

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

Enumeration Date: July 20, 2007

Last Update: February 21, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1325 N Main St

Wheaton, IL 601873579

Phone: 6306684144

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.