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Active NPI 1265572192 Individual Practitioner Male Practitioner

Dr. Prashant Kapadia , OD

Optometrist • Brownstown, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Kapadia, OD is a certified Optometrist practicing in Brownstown, MI. With approximately 23 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2003, Dr. Kapadia delivers high-quality medical care to the local community at 19335 ALLEN ROAD.

Dr. Kapadia is affiliated with Blue Sky Vision Eye Care Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

19335 Allen Road

Brownstown, MI 48183

Telephone 7344795580
Fax 7344795586
Associated Practice Facility / Clinic
🏢 Kamal Gupta, M.d. P.c. Facility NPI 1467679548

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Brownstown, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs Matches City Avg
City Avg: 23.0 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Brownstown, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kapadia (23 Years) 23 Yrs
Brownstown Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
608 415 $155.00 $90.95
92250 Photography of the retina
235 233 $125.00 $36.84
92014 Established patient complete exam of visual system
234 234 $195.00 $124.01
92133 Imaging of optic nerve
196 193 $90.00 $33.27
92083 Exam of visual field with extended testing
181 180 $150.00 $62.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
100 83 $220.00 $127.14
76514 Ultrasound scan of cornea to determine thickness
64 64 $30.00 $10.62
92134 Imaging of retina
62 59 $100.00 $39.09
92004 New patient complete exam of visual system
49 49 $230.00 $147.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $280.00 $160.14
68761 Closure of tear duct opening using plug
13 12 $448.46 $194.61

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901004256

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.

Hospital & Practice Group Affiliations

Blue Sky Vision Eye Care Pc

19335 Allen Rd, Brownstown Twp, MI 481831003

Phone: 7344795580

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1164415105

Doctor of Medicine (M.D.)

Dr. Nisha Gupta , MD

Internal Medicine - Rheumatology

NPI 1306839311

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 07, 2019

Registered at 19335 ALLEN ROAD, BROWNSTOWN, MI 48183 (Tel: 7344795580)

📍
Updated Business Mailing Address August 07, 2019

Registered at 19335 ALLEN ROAD, BROWNSTOWN, MI 48183 (Tel: 7344795580)

👤
Provider Name / Credentials Updated August 07, 2019

Recorded as PRASHANT KAPADIA, OD

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 22757 WOODWARD AVE, SUITE 100, FERNDALE, MI 482201778 (Tel: 2483999595)

📍
Updated Business Mailing Address July 08, 2007

Registered at 22757 WOODWARD AVE, SUITE 100, FERNDALE, MI 482201778 (Tel: 2483999595)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHASANT KAPADIA, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #4901004256 in MI)

🟢
Initial NPI Registration & Enumeration February 08, 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: 1265572192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: August 07, 2019
Sole Proprietor: No

Mailing Address

19335 Allen Road

Brownstown, MI 48183

Phone: 7344795580

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.