Active NPI 1043263833 Individual Practitioner Male Practitioner

Dr. Sanjay K Patel , MD

Ophthalmology • Mckinney, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Patel, MD is a certified Ophthalmology practicing in Mckinney, TX. With approximately 32 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1994, Dr. Patel delivers high-quality medical care to the local community at 1501 REDBUD BLVD.

Dr. Patel is affiliated with Jw Eye Associates, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, measurement of corneal curvature and depth of eye, established patient problem focused 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

1501 Redbud Blvd

Mckinney, TX 750693226

Telephone 9725480771

Fax 9725622300

Associated Practice Facility / Clinic

🏢 Mary Hall Crna Pllc Facility NPI 1629799499

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Mckinney, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +12.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Mckinney, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (32 Years) 32 Yrs

Mckinney Specialty Average (19.6 Years) 19.6 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	1,244	1,183	$150.00	$119.36
92136 Measurement of corneal curvature and depth of eye	494	342	$129.25	$40.77
92012 Established patient problem focused exam of visual system	476	320	$90.00	$84.39
66984 Removal of cataract with insertion of lens	432	252	$2250.00	$511.67
92133 Imaging of optic nerve	374	373	$75.00	$32.00
92083 Exam of visual field with extended testing	320	312	$139.41	$59.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	249	249	$200.00	$160.24
66821 Removal of recurring cataract in lens capsule using a laser	212	153	$550.00	$293.62
92004 New patient complete exam of visual system	115	115	$200.00	$141.32
92082 Exam of visual field with intermediate testing	112	112	$120.00	$44.47
92250 Photography of the retina	76	75	$95.00	$34.78
92134 Imaging of retina	75	71	$75.00	$36.64
92285 Photography of content of eyes	50	50	$60.00	$18.93
76514 Ultrasound scan of cornea to determine thickness	42	42	$55.00	$10.14
92020 Examination of cornea and iris using lens device and slit lamp	41	41	$50.00	$26.02
92025 Ct scan of cornea	25	25	$75.00	$32.42
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	16	11	$3650.00	$645.09
92002 New patient problem focused exam of visual system	13	13	$125.00	$80.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,271	1,215	$150.00	$123.13
92136 Measurement of corneal curvature and depth of eye	602	402	$113.70	$39.85
66984 Removal of cataract with insertion of lens	537	319	$2250.00	$524.89
92012 Established patient problem focused exam of visual system	486	353	$90.00	$87.43
92133 Imaging of optic nerve	359	359	$75.00	$33.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	307	307	$200.00	$162.27
92083 Exam of visual field with extended testing	307	302	$139.69	$60.63
66821 Removal of recurring cataract in lens capsule using a laser	185	142	$550.00	$300.74
92082 Exam of visual field with intermediate testing	113	112	$120.00	$45.40
92134 Imaging of retina	99	98	$75.00	$37.58
92004 New patient complete exam of visual system	73	73	$200.00	$146.07
92020 Examination of cornea and iris using lens device and slit lamp	68	68	$50.00	$27.01
92250 Photography of the retina	68	68	$95.00	$35.71
76514 Ultrasound scan of cornea to determine thickness	57	57	$55.00	$10.44
92285 Photography of content of eyes	50	49	$60.00	$19.35
92025 Ct scan of cornea	32	32	$73.59	$32.57
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	17	12	$3650.00	$658.63
92002 New patient problem focused exam of visual system	13	13	$125.00	$83.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,260	1,202	$150.00	$124.53
92136 Measurement of corneal curvature and depth of eye	627	423	$112.76	$41.59
66984 Removal of cataract with insertion of lens	605	355	$2250.00	$524.31
92012 Established patient problem focused exam of visual system	444	332	$90.00	$87.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	377	377	$200.00	$162.97
92133 Imaging of optic nerve	336	335	$75.00	$33.49
92083 Exam of visual field with extended testing	291	289	$140.00	$61.32
66821 Removal of recurring cataract in lens capsule using a laser	227	171	$550.00	$297.68
92004 New patient complete exam of visual system	151	151	$200.00	$148.00
92082 Exam of visual field with intermediate testing	130	128	$120.00	$44.82
92250 Photography of the retina	114	114	$95.00	$35.76
92134 Imaging of retina	102	101	$75.00	$37.58
92285 Photography of content of eyes	79	76	$60.00	$19.50
92020 Examination of cornea and iris using lens device and slit lamp	68	68	$50.00	$27.27
76514 Ultrasound scan of cornea to determine thickness	63	62	$55.00	$10.44
92025 Ct scan of cornea	32	32	$75.00	$33.75
92002 New patient problem focused exam of visual system	23	23	$125.00	$84.75
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	20	12	$3650.00	$661.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$150.00	$66.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,237	1,177	$150.00	$125.24
92136 Measurement of corneal curvature and depth of eye	671	432	$113.04	$45.00
66984 Removal of cataract with insertion of lens	604	359	$2250.00	$529.16
92012 Established patient problem focused exam of visual system	387	278	$90.00	$88.71
92133 Imaging of optic nerve	335	332	$74.87	$34.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	328	328	$200.00	$163.67
92083 Exam of visual field with extended testing	278	274	$139.32	$61.81
66821 Removal of recurring cataract in lens capsule using a laser	235	181	$550.00	$305.80
92082 Exam of visual field with intermediate testing	123	123	$120.00	$46.75
92004 New patient complete exam of visual system	119	119	$200.00	$149.07
92250 Photography of the retina	90	90	$95.00	$37.09
92134 Imaging of retina	85	81	$75.00	$37.47
92020 Examination of cornea and iris using lens device and slit lamp	78	77	$50.00	$27.70
92285 Photography of content of eyes	66	62	$60.00	$19.12
76514 Ultrasound scan of cornea to determine thickness	62	61	$55.00	$10.70
0191T Internal insertion of eye fluid drainage device	36	20	$1400.00	$340.03
92025 Ct scan of cornea	23	23	$75.00	$34.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$150.00	$95.11
92002 New patient problem focused exam of visual system	12	12	$125.00	$85.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,161	1,105	$150.00	$124.63
92136 Measurement of corneal curvature and depth of eye	572	376	$113.99	$50.34
66984 Removal of cataract with insertion of lens	504	299	$2250.00	$539.06
92012 Established patient problem focused exam of visual system	317	242	$90.00	$87.30
92133 Imaging of optic nerve	304	304	$75.00	$34.15
66821 Removal of recurring cataract in lens capsule using a laser	257	184	$550.00	$307.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	255	255	$200.00	$160.77
92083 Exam of visual field with extended testing	250	243	$138.48	$61.70
92082 Exam of visual field with intermediate testing	138	137	$120.00	$46.25
92020 Examination of cornea and iris using lens device and slit lamp	116	116	$50.00	$27.04
92004 New patient complete exam of visual system	86	86	$200.00	$148.87
92250 Photography of the retina	81	80	$95.00	$42.95
76514 Ultrasound scan of cornea to determine thickness	65	64	$55.00	$10.95
92134 Imaging of retina	63	62	$75.00	$38.65
92285 Photography of content of eyes	59	56	$60.00	$18.40
92025 Ct scan of cornea	23	22	$75.00	$34.37
0191T Internal insertion of eye fluid drainage device	21	13	$1400.00	$327.32
92002 New patient problem focused exam of visual system	11	11	$125.00	$82.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,361	1,284	$150.00	$123.42
92136 Measurement of corneal curvature and depth of eye	799	498	$110.33	$53.27
66984 Removal of cataract with insertion of lens	743	442	$2247.58	$624.92
92012 Established patient problem focused exam of visual system	389	273	$90.00	$85.92
66821 Removal of recurring cataract in lens capsule using a laser	367	257	$550.00	$303.47
92133 Imaging of optic nerve	349	345	$74.74	$33.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	342	342	$200.00	$160.35
92134 Imaging of retina	269	189	$44.72	$22.19
92083 Exam of visual field with extended testing	268	256	$139.29	$61.50
92020 Examination of cornea and iris using lens device and slit lamp	195	194	$50.00	$27.11
92082 Exam of visual field with intermediate testing	163	163	$120.00	$45.69
92004 New patient complete exam of visual system	117	117	$200.00	$147.55
92250 Photography of the retina	116	115	$93.84	$47.57
76514 Ultrasound scan of cornea to determine thickness	85	84	$55.00	$11.57
92025 Ct scan of cornea	14	14	$75.00	$34.89
92285 Photography of content of eyes	13	13	$60.00	$20.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$150.00	$85.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	1,114	445	$69.93	$36.25
92014 Established patient complete exam of visual system	1,096	1,039	$150.00	$121.65
66984 Removal of cataract with insertion of lens	620	378	$2245.97	$610.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	335	335	$200.00	$156.49
66821 Removal of recurring cataract in lens capsule using a laser	300	208	$550.00	$300.55
92012 Established patient problem focused exam of visual system	280	207	$90.00	$84.38
92133 Imaging of optic nerve	253	252	$74.82	$33.90
92134 Imaging of retina	196	159	$47.22	$23.29
92083 Exam of visual field with extended testing	156	155	$140.00	$60.56
92082 Exam of visual field with intermediate testing	148	146	$120.00	$46.08
92250 Photography of the retina	87	86	$93.45	$51.85
92004 New patient complete exam of visual system	74	74	$200.00	$145.89
92020 Examination of cornea and iris using lens device and slit lamp	37	37	$50.00	$26.06
76514 Ultrasound scan of cornea to determine thickness	28	28	$55.00	$13.89
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	$71.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,122	1,055	$150.00	$117.95
92136 Measurement of corneal curvature and depth of eye	761	298	$69.51	$39.55
66984 Removal of cataract with insertion of lens	434	257	$2250.00	$609.36
92012 Established patient problem focused exam of visual system	333	248	$90.00	$81.23
66821 Removal of recurring cataract in lens capsule using a laser	273	195	$550.00	$296.40
92133 Imaging of optic nerve	245	242	$75.00	$33.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	234	234	$200.00	$156.06
92082 Exam of visual field with intermediate testing	163	160	$120.00	$44.95
92083 Exam of visual field with extended testing	156	151	$140.00	$60.12
92004 New patient complete exam of visual system	140	140	$200.00	$142.42
92250 Photography of the retina	118	117	$95.00	$61.18
92134 Imaging of retina	82	77	$75.00	$37.91
92020 Examination of cornea and iris using lens device and slit lamp	50	49	$50.00	$25.86
76514 Ultrasound scan of cornea to determine thickness	39	39	$55.00	$13.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$150.00	$68.11
92002 New patient problem focused exam of visual system	14	14	$125.00	$77.30
92025 Ct scan of cornea	14	13	$75.00	$34.54
66982 Complex removal of cataract with insertion of prosthetic lens	13	12	$2250.00	$763.91

Medical Specialties & State Licenses

CMS Verified: 2023-12-04

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX K7199

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

042796501 (TX)

Hospital & Practice Group Affiliations

Jw Eye Associates, Pllc

1501 Redbud Blvd, Mckinney, TX 750693226

Phone: 2147540000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Joshua Heczko , MD

Ophthalmology

NPI 1043709181

Doctor of Medicine (M.D.)

Dr. Rudolf Churner , MD

Ophthalmology

NPI 1376528869

Doctor of Medicine (M.D.)

Linda Terpstra , CRNA

Nurse Anesthetist, Certified Registered

NPI 1508921438

Certified Registered Nurse Anesthetist

Dr. James Norbury , MD

Ophthalmology

NPI 1568414050

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 March 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2011

Registered at 1501 REDBUD BLVD, MCKINNEY, TX 750693226 (Tel: 9725480771)

📍

Updated Business Mailing Address March 28, 2011

Registered at 300 KINGS LAKE DR, MCKINNEY, TX 750708778 (Tel: 9725480771)

👤

Provider Name / Credentials Updated March 28, 2011

Recorded as SANJAY PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2011

Ophthalmology (License #K7199 in TX)

🟢

Initial NPI Registration & Enumeration May 19, 2006

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: 1043263833

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: December 04, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 Kings Lake Dr

Mckinney, TX 750708778

Phone: 9725480771

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.