Active NPI 1346449600 Individual Practitioner Female Practitioner

Dr. Nimisha A Patel , MD

Ophthalmology • Houston, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nimisha Patel, MD is a certified Ophthalmology practicing in Houston, TX. With approximately 34 years of clinical experience since graduating from New York University School Of Medicine in 1992, Dr. Patel delivers high-quality medical care to the local community at 3100 TIMMONS LANE.

Dr. Patel is affiliated with Physicians Referral Service and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

3100 Timmons Lane
Suite 150

Houston, TX 770275938

Telephone 7135293867

Fax 7135292121

Associated Practice Facility / Clinic

🏢 Eye Health & Surgical Care Facility NPI 1033343165

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.1 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

276 Specialists

Practicing in Houston, TX (1616 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (34 Years) 34 Yrs

Houston Specialty Average (24.9 Years) 24.9 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
92250 Photography of the retina	226	179	$170.69	$20.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	117	$275.76	$95.95
92134 Imaging of retina	151	105	$278.15	$23.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$426.11	$82.42
92082 Exam of visual field with intermediate testing	74	62	$118.42	$19.96
92133 Imaging of optic nerve	33	27	$278.00	$19.68
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$177.63	$65.83
99221 Initial hospital inpatient care per day, typically 30 minutes	29	26	$414.10	$83.42
92060 Exam to measure eye deviation and range of motion	20	18	$253.50	$36.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$730.62	$134.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	232	149	$265.68	$24.44
92250 Photography of the retina	201	150	$163.76	$21.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	127	$264.92	$97.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$413.90	$83.75
92082 Exam of visual field with intermediate testing	56	54	$114.00	$20.59
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$170.17	$66.87
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$398.34	$84.58
92133 Imaging of optic nerve	25	23	$265.60	$20.96
92285 Photography of content of eyes	22	11	$128.05	$3.11

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	237	152	$254.99	$100.44
92250 Photography of the retina	194	164	$157.35	$21.60
92134 Imaging of retina	158	106	$258.01	$25.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$325.08	$85.87
92285 Photography of content of eyes	60	35	$122.67	$3.15
92082 Exam of visual field with intermediate testing	59	54	$110.12	$21.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	15	$514.74	$149.90
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$373.17	$102.34
92133 Imaging of optic nerve	24	22	$259.42	$21.35
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$166.50	$68.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	221	181	$151.55	$21.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	116	$247.15	$102.43
92134 Imaging of retina	122	85	$248.43	$25.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$297.80	$86.38
92285 Photography of content of eyes	61	23	$118.62	$3.19
92082 Exam of visual field with intermediate testing	52	44	$105.69	$21.90
99221 Initial hospital inpatient care per day, typically 30 minutes	24	22	$372.96	$95.93
92133 Imaging of optic nerve	20	16	$249.85	$21.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	170	144	$146.39	$22.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	81	$236.26	$81.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$330.93	$77.35
92082 Exam of visual field with intermediate testing	57	55	$101.33	$22.16
92134 Imaging of retina	49	41	$239.96	$24.16
99221 Initial hospital inpatient care per day, typically 30 minutes	26	24	$333.85	$105.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	18	$108.44	$26.79
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$154.33	$53.28
92133 Imaging of optic nerve	13	13	$236.38	$23.12

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	245	169	$227.61	$80.32
92082 Exam of visual field with intermediate testing	126	101	$98.73	$22.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$264.57	$77.29
99221 Initial hospital inpatient care per day, typically 30 minutes	65	62	$269.92	$102.58
92250 Photography of the retina	60	52	$140.08	$22.62
92133 Imaging of optic nerve	35	31	$235.00	$22.34
92134 Imaging of retina	33	28	$235.00	$25.95
92020 Examination of cornea and iris using lens device and slit lamp	28	28	$124.07	$21.10
92285 Photography of content of eyes	20	14	$108.40	$3.26
92060 Exam to measure eye deviation and range of motion	20	18	$179.00	$38.18
92014 Established patient complete exam of visual system	19	12	$150.00	$128.58
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$1530.25	$320.89

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	229	155	$225.00	$79.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$261.00	$76.87
92082 Exam of visual field with intermediate testing	86	77	$98.00	$21.95
92020 Examination of cornea and iris using lens device and slit lamp	58	50	$123.00	$21.23
92250 Photography of the retina	44	38	$138.00	$22.33
92133 Imaging of optic nerve	37	34	$235.00	$22.47
92014 Established patient complete exam of visual system	34	18	$148.82	$128.47
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$267.00	$92.60
92285 Photography of content of eyes	21	14	$108.00	$3.22
92060 Exam to measure eye deviation and range of motion	20	20	$179.00	$39.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$359.00	$135.60
92134 Imaging of retina	18	17	$235.00	$26.65
76514 Ultrasound scan of cornea to determine thickness	14	14	$79.00	$10.06

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	130	76	$225.00	$77.39
92082 Exam of visual field with intermediate testing	63	52	$98.00	$21.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$261.00	$76.33
92020 Examination of cornea and iris using lens device and slit lamp	49	37	$123.00	$20.73
92133 Imaging of optic nerve	48	43	$235.00	$22.60
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$267.00	$87.80
92014 Established patient complete exam of visual system	24	16	$130.00	$120.78
92134 Imaging of retina	23	23	$235.00	$23.88
92012 Established patient problem focused exam of visual system	22	14	$90.00	$83.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$170.00	$160.32
66821 Removal of recurring cataract in lens capsule using a laser	18	13	$1155.11	$304.18
76514 Ultrasound scan of cornea to determine thickness	15	15	$79.00	$9.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$454.50	$193.03
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$144.00	$50.71

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX K0979

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

106052703 (TX)

Hospital & Practice Group Affiliations

Physicians Referral Service

2130 W Holcombe Blvd, Houston, TX 770304009

Phone: 7135925433

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Lawrence Wright , MD

Ophthalmology

NPI 1891711701

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2014

Registered at 3100 TIMMONS LANE, SUITE 150, HOUSTON, TX 770275938 (Tel: 7135293867)

📍

Updated Business Mailing Address October 27, 2014

Registered at 3100 TIMMONS LANE, SUITE 150, HOUSTON, TX 770275938 (Tel: 7135293867)

👤

Provider Name / Credentials Updated October 27, 2014

Recorded as NIMISHA PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2014

Ophthalmology (License #K0979 in TX)

🟢

Initial NPI Registration & Enumeration July 16, 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: 1346449600

Entity Type:

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

Enumeration Date: July 16, 2007

Last Update: October 27, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3100 Timmons Lane, Suite 150

Houston, TX 770275938

Phone: 7135293867

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.