Active NPI 1093979460 Individual Practitioner Female Practitioner

Dr. Rupal Patel Panghaal , MD

Ophthalmology • Poughkeepsie, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rupal Panghaal, MD is a certified Ophthalmology practicing in Poughkeepsie, NY. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Panghaal delivers high-quality medical care to the local community at 22 GREEN ST.

Dr. Panghaal is affiliated with Optum Medical Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, 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

22 Green St

Poughkeepsie, NY 126011306

Telephone 8452315600

Fax 8454719516

Associated Practice Facility / Clinic

🏢 Central New York Eye Center, Ltd Facility NPI 1568433142

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Poughkeepsie, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -14.7 yrs vs City Avg

City Avg: 36.7 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

10 Specialists

Practicing in Poughkeepsie, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Panghaal (22 Years) 22 Yrs

Poughkeepsie Specialty Average (36.7 Years) 36.7 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	512	509	$161.49	$133.34
92134 Imaging of retina	269	264	$54.95	$42.28
92133 Imaging of optic nerve	150	143	$49.61	$37.73
92083 Exam of visual field with extended testing	133	114	$79.07	$67.93
99213 Established patient office or other outpatient visit, typically 15 minutes	114	102	$109.01	$96.95
92004 New patient complete exam of visual system	81	81	$201.28	$157.15
92012 Established patient problem focused exam of visual system	73	63	$114.33	$94.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	67	$157.49	$134.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$73.41	$59.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$213.26	$178.11
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$39.62	$29.00
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$382.51	$330.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$180.93	$113.26
92002 New patient problem focused exam of visual system	12	12	$156.62	$90.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	536	529	$164.94	$135.37
92134 Imaging of retina	172	168	$52.77	$42.62
92133 Imaging of optic nerve	124	117	$50.62	$38.61
92083 Exam of visual field with extended testing	112	103	$78.49	$67.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	92	$70.68	$61.21
92012 Established patient problem focused exam of visual system	105	87	$116.73	$97.01
92004 New patient complete exam of visual system	93	93	$194.77	$160.27
92136 Measurement of corneal curvature and depth of eye	89	45	$35.47	$25.90
66984 Removal of cataract with insertion of lens	46	38	$925.96	$569.34
92002 New patient problem focused exam of visual system	18	18	$119.86	$92.05
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$42.08	$29.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	401	397	$175.19	$136.94
92012 Established patient problem focused exam of visual system	124	98	$111.54	$97.34
92134 Imaging of retina	112	109	$52.40	$43.56
92133 Imaging of optic nerve	97	89	$55.40	$39.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	51	$70.54	$62.31
92004 New patient complete exam of visual system	75	75	$226.15	$161.24
92083 Exam of visual field with extended testing	59	49	$75.85	$68.71
92136 Measurement of corneal curvature and depth of eye	58	32	$30.57	$27.96
66984 Removal of cataract with insertion of lens	29	23	$870.53	$589.43
92002 New patient problem focused exam of visual system	26	26	$129.53	$94.07
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$32.95	$30.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	345	340	$168.46	$138.40
92012 Established patient problem focused exam of visual system	124	103	$119.84	$98.28
92004 New patient complete exam of visual system	116	116	$177.82	$164.48
92134 Imaging of retina	114	108	$59.71	$44.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	63	$68.33	$61.75
92133 Imaging of optic nerve	92	77	$46.82	$39.94
92083 Exam of visual field with extended testing	70	58	$79.41	$69.96
92136 Measurement of corneal curvature and depth of eye	63	32	$43.49	$30.74
92020 Examination of cornea and iris using lens device and slit lamp	31	31	$37.23	$30.41
66984 Removal of cataract with insertion of lens	28	24	$652.37	$595.73
92002 New patient problem focused exam of visual system	24	24	$123.43	$92.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	316	315	$155.63	$136.09
92012 Established patient problem focused exam of visual system	111	99	$122.29	$95.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	70	$61.01	$49.52
92133 Imaging of optic nerve	90	80	$46.64	$39.71
92134 Imaging of retina	85	82	$55.40	$43.81
92004 New patient complete exam of visual system	82	82	$206.84	$160.06
92083 Exam of visual field with extended testing	54	47	$108.83	$68.75
92136 Measurement of corneal curvature and depth of eye	27	12	$37.03	$33.56
92002 New patient problem focused exam of visual system	20	20	$122.38	$91.11
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$32.34	$29.81
66984 Removal of cataract with insertion of lens	16	11	$654.98	$594.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	330	326	$162.49	$133.05
92012 Established patient problem focused exam of visual system	175	147	$118.70	$92.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	85	$56.44	$47.81
92134 Imaging of retina	110	99	$65.45	$43.04
92004 New patient complete exam of visual system	109	109	$210.98	$158.08
92133 Imaging of optic nerve	80	69	$51.11	$38.28
92083 Exam of visual field with extended testing	69	59	$87.33	$67.97
92136 Measurement of corneal curvature and depth of eye	38	19	$54.88	$36.57
92002 New patient problem focused exam of visual system	35	35	$123.34	$88.85
66984 Removal of cataract with insertion of lens	17	13	$1427.43	$678.91
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$32.03	$29.02
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$118.06	$78.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	299	297	$159.77	$132.23
92012 Established patient problem focused exam of visual system	226	178	$109.66	$92.08
92004 New patient complete exam of visual system	107	107	$194.45	$158.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	86	$57.51	$46.52
92134 Imaging of retina	70	64	$56.92	$43.68
92083 Exam of visual field with extended testing	68	61	$84.68	$68.23
92133 Imaging of optic nerve	66	58	$55.90	$38.60
92002 New patient problem focused exam of visual system	49	49	$102.05	$88.29
92136 Measurement of corneal curvature and depth of eye	21	12	$53.69	$41.45
92020 Examination of cornea and iris using lens device and slit lamp	17	16	$38.41	$28.21
76514 Ultrasound scan of cornea to determine thickness	16	16	$18.76	$15.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	236	232	$160.96	$127.98
92012 Established patient problem focused exam of visual system	220	158	$103.16	$89.71
92004 New patient complete exam of visual system	109	109	$188.26	$155.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	61	$59.74	$45.75
92083 Exam of visual field with extended testing	56	47	$79.85	$68.10
92134 Imaging of retina	50	42	$55.64	$42.57
92002 New patient problem focused exam of visual system	45	45	$107.87	$85.41
92133 Imaging of optic nerve	40	36	$53.52	$37.79
92020 Examination of cornea and iris using lens device and slit lamp	28	26	$35.52	$28.23

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 267586

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03536298 (NY)

Hospital & Practice Group Affiliations

Optum Medical Care Pc

90 S Bedford Rd, Mount Kisco, NY 105493412

Phone: 9142411050

Optum Medical Care Pc

2507 S Rd, Poughkeepsie, NY 126015458

Phone: 8454712287

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Delia Stefan , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003019613

Doctor of Medicine (M.D.)

Dr. Rupinder Bhangoo , MD

Obstetrics & Gynecology

NPI 1003084302

Doctor of Medicine (M.D.)

Dr. Amelia Martinko , MD

Internal Medicine - Geriatric Medicine

NPI 1003813775

Doctor of Medicine (M.D.)

Dr. Rodrigo Penalosa , MD

Pediatrics

NPI 1003814757

Doctor of Medicine (M.D.)

Dr. Levent Balkir , MD

Hospitalist

NPI 1003949710

Doctor of Medicine (M.D.)

Melissa Lennon , RN, CDE

Registered Nurse - Diabetes Educator

NPI 1013479096

Registered Nurse, Certified Diabetes Educator

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2016

Registered at 22 GREEN ST, POUGHKEEPSIE, NY 126011306 (Tel: 8452315600)

📍

Updated Business Mailing Address November 18, 2016

Registered at 110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 105493446 (Tel: 9142411050)

👤

Provider Name / Credentials Updated November 18, 2016

Recorded as RUPAL PANGHAAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2016

Ophthalmology (License #267586 in NY)

🟢

Initial NPI Registration & Enumeration July 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093979460

Entity Type:

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

Enumeration Date: July 15, 2008

Last Update: November 18, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 S Bedford Rd, Caremount Medical Pc

Mount Kisco, NY 105493446

Phone: 9142411050

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.