Active NPI 1851393466 Individual Practitioner Male Practitioner

Dr. Chetankumar B Patel , MD

Ophthalmology • Frederick, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chetankumar Patel, MD is a certified Ophthalmology practicing in Frederick, MD. With approximately 26 years of clinical experience since graduating from University Of Florida College Of Medicine in 2000, Dr. Patel delivers high-quality medical care to the local community at 7101 GUILFORD DR.

Dr. Patel accepts Medicare assignment.

Frequently performed procedures and clinical services include chloroprocaine hcl ophthalmic, 3% gel, 1 mg, injection, faricimab-svoa, 0.1 mg, injection, pegcetacoplan, intravitreal, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7101 Guilford Dr
Suite 201

Frederick, MD 217045193

Telephone 3016622775

Fax 3016622776

Associated Practice Facility / Clinic

🏢 Drs Stroh & Butler Pa Facility NPI 1083607873

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Frederick, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -1.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Frederick, MD (624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (26 Years) 26 Yrs

Frederick Specialty Average (27.5 Years) 27.5 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
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	2,168,095	306	$1.45	$0.65
J2777 Injection, faricimab-svoa, 0.1 mg	29,725	86	$73.00	$34.55
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	8,955	74	$400.00	$147.02
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	7,575	184	$700.00	$228.39
92134 Imaging of retina	3,808	1,021	$103.25	$41.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	3,433	841	$268.94	$132.59
67028 Injection of drug into eye	3,008	336	$236.46	$116.21
92014 Established patient complete exam of visual system	1,933	794	$263.86	$130.63
92250 Photography of the retina	837	476	$81.82	$37.33
J9035 Injection, bevacizumab, 10 mg	292	39	$159.10	$72.27
92235 Exam of retinal blood vessels using a special camera after injection of a dye	258	181	$246.18	$168.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$348.24	$173.92
92201 Extended exam of the back part of the eye with retinal drawing	72	38	$51.42	$25.68
76512 Ultrasound of eye disease, growth, or structure	47	27	$102.52	$49.60
67036 Removal of eye fluid (vitreous) between the lens and retina	13	12	$2082.82	$1045.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	520,000	251	$1.45	$0.69
J2777 Injection, faricimab-svoa, 0.1 mg	27,060	64	$73.00	$36.52
J2778 Injection, ranibizumab, 0.1 mg	6,137	172	$686.62	$234.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	4,022	1,097	$268.94	$128.64
92134 Imaging of retina	3,735	1,005	$85.34	$40.64
67028 Injection of drug into eye	2,851	324	$236.46	$113.15
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	1,605	49	$400.00	$151.06
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	1,486	158	$700.00	$268.89
92014 Established patient complete exam of visual system	1,233	277	$263.86	$126.68
92250 Photography of the retina	700	473	$81.94	$35.73
J9035 Injection, bevacizumab, 10 mg	547	67	$159.10	$70.96
92235 Exam of retinal blood vessels using a special camera after injection of a dye	403	248	$248.62	$138.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	176	176	$348.24	$168.34
92201 Extended exam of the back part of the eye with retinal drawing	119	61	$51.42	$24.99
J3490 Unclassified drugs	97	37	$6000.00	$2219.61
76512 Ultrasound of eye disease, growth, or structure	68	30	$102.52	$48.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	8,755	199	$686.62	$278.31
92134 Imaging of retina	3,610	962	$85.43	$41.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	3,529	1,115	$268.94	$130.22
67028 Injection of drug into eye	2,737	304	$236.46	$114.09
92014 Established patient complete exam of visual system	1,717	287	$264.17	$128.10
J2777 Injection, faricimab-svoa, 0.1 mg	1,140	14	$73.00	$37.45
92250 Photography of the retina	906	591	$81.82	$35.69
J9035 Injection, bevacizumab, 10 mg	789	87	$159.10	$68.38
92235 Exam of retinal blood vessels using a special camera after injection of a dye	580	316	$248.30	$127.51
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	273	12	$399.20	$198.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$348.24	$171.94
J0178 Injection, aflibercept, 1 mg	126	11	$1876.88	$901.60
92201 Extended exam of the back part of the eye with retinal drawing	90	57	$51.42	$25.36
76512 Ultrasound of eye disease, growth, or structure	50	27	$102.52	$49.05
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	11	11	$2644.92	$1308.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	8,081	206	$686.62	$314.18
92134 Imaging of retina	3,395	932	$85.32	$41.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	3,375	1,086	$266.19	$132.98
67028 Injection of drug into eye	2,959	336	$234.05	$116.32
92014 Established patient complete exam of visual system	2,140	435	$266.68	$129.63
J9035 Injection, bevacizumab, 10 mg	1,156	234	$159.10	$72.80
92250 Photography of the retina	1,036	679	$83.08	$37.94
92235 Exam of retinal blood vessels using a special camera after injection of a dye	657	368	$244.85	$120.51
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	231	13	$399.20	$197.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$347.81	$173.56
92201 Extended exam of the back part of the eye with retinal drawing	93	51	$51.50	$25.77
76512 Ultrasound of eye disease, growth, or structure	56	30	$103.08	$50.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	7,769	209	$722.47	$334.98
92014 Established patient complete exam of visual system	3,227	1,099	$251.83	$129.41
92134 Imaging of retina	2,929	814	$86.73	$41.90
67028 Injection of drug into eye	2,812	349	$230.40	$104.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,750	410	$218.82	$111.52
92250 Photography of the retina	1,146	775	$112.84	$43.24
J9035 Injection, bevacizumab, 10 mg	1,099	144	$139.22	$78.44
92235 Exam of retinal blood vessels using a special camera after injection of a dye	746	423	$235.92	$106.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	191	191	$334.08	$170.75
92201 Extended exam of the back part of the eye with retinal drawing	136	87	$52.38	$26.19
99441 Telephone medical discussion with physician, 5-10 minutes	60	58	$94.90	$27.10
76512 Ultrasound of eye disease, growth, or structure	34	26	$134.91	$52.81
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	14	13	$2934.74	$1346.29
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	13	13	$29.62	$13.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	7,393	174	$779.58	$353.35
92014 Established patient complete exam of visual system	3,759	1,194	$233.10	$127.97
92134 Imaging of retina	3,196	915	$89.58	$41.58
67028 Injection of drug into eye	3,138	342	$258.00	$103.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,159	431	$205.52	$109.78
J9035 Injection, bevacizumab, 10 mg	1,497	181	$114.87	$79.93
92250 Photography of the retina	1,368	873	$148.35	$47.43
92235 Exam of retinal blood vessels using a special camera after injection of a dye	909	487	$263.50	$92.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	251	251	$317.66	$167.79
92226 Examination of eye by ophthalmoscope with retinal drawing	243	117	$45.82	$26.11
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	217	13	$1000.00	$196.82
76512 Ultrasound of eye disease, growth, or structure	44	26	$186.24	$60.46
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	23	22	$2934.74	$1321.55
92225 Examination of eye by ophthalmoscope with retinal drawing	20	15	$51.18	$28.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	6,495	143	$779.76	$370.55
92014 Established patient complete exam of visual system	3,579	1,138	$233.10	$126.61
92134 Imaging of retina	3,205	886	$89.80	$41.88
67028 Injection of drug into eye	2,959	337	$258.00	$102.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,133	433	$205.52	$107.94
J9035 Injection, bevacizumab, 10 mg	1,541	204	$114.87	$76.69
92250 Photography of the retina	1,280	805	$148.36	$53.03
92235 Exam of retinal blood vessels using a special camera after injection of a dye	806	419	$263.50	$86.12
92226 Examination of eye by ophthalmoscope with retinal drawing	262	128	$45.82	$25.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	260	260	$318.07	$166.25
76512 Ultrasound of eye disease, growth, or structure	56	34	$186.24	$73.77
92225 Examination of eye by ophthalmoscope with retinal drawing	23	17	$51.18	$27.58
67145 Photocoagulation treatment to prevent detachment of retina	15	14	$1010.58	$546.72
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	13	13	$2934.74	$1312.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	4,842	124	$780.00	$372.62
92014 Established patient complete exam of visual system	3,465	1,117	$233.10	$123.41
92134 Imaging of retina	3,195	887	$89.58	$41.03
67028 Injection of drug into eye	2,820	333	$258.00	$102.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,012	433	$205.52	$107.25
J9035 Injection, bevacizumab, 10 mg	1,789	216	$114.87	$73.13
92250 Photography of the retina	1,211	782	$148.24	$65.81
92235 Exam of retinal blood vessels using a special camera after injection of a dye	756	413	$263.50	$77.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	302	302	$317.78	$164.77
92226 Examination of eye by ophthalmoscope with retinal drawing	284	149	$45.82	$25.03
76512 Ultrasound of eye disease, growth, or structure	62	29	$186.24	$91.14
92225 Examination of eye by ophthalmoscope with retinal drawing	33	25	$51.18	$27.13

Medical Specialties & State Licenses

CMS Verified: 2020-05-22

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MD 64822

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.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License MD 64822

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0440115 (IA)

Medicaid State Provider ID

012122300 (MD)

Commercial Insurance / Payer ID Wellmark Bc/bs

36448 (IA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Apurva Makadiya , MD, MBBS

Psychiatry & Neurology - Psychiatry

NPI 1467681239

Doctor of Medicine (M.D.), Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2008

Registered at 7101 GUILFORD DR, SUITE 201, FREDERICK, MD 217045193 (Tel: 3016622775)

📍

Updated Business Mailing Address December 03, 2008

Registered at 7101 GUILFORD DR, SUITE 201, FREDERICK, MD 217045193 (Tel: 3016622775)

👤

Provider Name / Credentials Updated December 03, 2008

Recorded as CHETANKUMAR PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2008

Ophthalmology (License #64822 in MD)

🟢

Initial NPI Registration & Enumeration August 12, 2005

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: 1851393466

Entity Type:

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

Enumeration Date: August 12, 2005

Last Update: May 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7101 Guilford Dr, Suite 201

Frederick, MD 217045193

Phone: 3016622775

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.