Active NPI 1518173079 Individual Practitioner Female Practitioner

Dr. Nisha Raman Patel , MD

Ophthalmology • Reston, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nisha Patel, MD is a certified Ophthalmology practicing in Reston, VA. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Patel delivers high-quality medical care to the local community at 12110 SUNSET HILLS RD.

Dr. Patel is affiliated with Nova Eye Md Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

12110 Sunset Hills Rd
Suite C50

Reston, VA 201905852

Telephone 7038349777

Fax 7038348187

Associated Practice Facility / Clinic

🏢 Jacqueline D Griffiths Md Pc Facility NPI 1851515472

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Reston, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -7.4 yrs vs City Avg

City Avg: 32.4 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Reston, VA (619 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (25 Years) 25 Yrs

Reston Specialty Average (32.4 Years) 32.4 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
92012 Established patient problem focused exam of visual system	261	120	$150.00	$100.05
92014 Established patient complete exam of visual system	131	124	$225.19	$140.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$250.00	$184.55
92133 Imaging of optic nerve	62	61	$100.00	$40.70
92083 Exam of visual field with extended testing	47	46	$150.00	$71.87
92136 Measurement of corneal curvature and depth of eye	43	31	$150.00	$45.92
66984 Removal of cataract with insertion of lens	33	23	$2000.00	$595.47
92134 Imaging of retina	26	23	$100.00	$45.14
92250 Photography of the retina	24	23	$150.00	$41.58
66821 Removal of recurring cataract in lens capsule using a laser	17	15	$1000.00	$372.67
76514 Ultrasound scan of cornea to determine thickness	12	11	$50.00	$12.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	250	120	$150.00	$103.49
92014 Established patient complete exam of visual system	119	116	$225.00	$142.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$250.68	$184.62
92133 Imaging of optic nerve	63	63	$100.00	$41.46
92136 Measurement of corneal curvature and depth of eye	44	30	$150.00	$48.75
92083 Exam of visual field with extended testing	41	40	$150.00	$71.28
66984 Removal of cataract with insertion of lens	37	21	$2000.00	$608.94
92250 Photography of the retina	21	18	$150.00	$41.08
92134 Imaging of retina	18	15	$100.00	$46.23
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$1000.00	$382.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	231	120	$150.00	$104.90
92014 Established patient complete exam of visual system	140	137	$225.00	$146.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$250.00	$189.77
92133 Imaging of optic nerve	62	61	$100.00	$42.02
92136 Measurement of corneal curvature and depth of eye	40	33	$150.00	$53.00
92083 Exam of visual field with extended testing	36	33	$150.00	$72.92
66984 Removal of cataract with insertion of lens	35	25	$2000.00	$621.33
92134 Imaging of retina	30	25	$100.00	$47.69
92250 Photography of the retina	14	12	$150.00	$43.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	216	121	$150.00	$106.16
92014 Established patient complete exam of visual system	116	113	$225.22	$149.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$250.00	$191.89
92133 Imaging of optic nerve	59	59	$100.00	$44.08
92136 Measurement of corneal curvature and depth of eye	34	27	$150.00	$55.27
92134 Imaging of retina	33	31	$100.00	$48.50
66984 Removal of cataract with insertion of lens	30	22	$2000.00	$631.93
92083 Exam of visual field with extended testing	25	25	$150.00	$76.22
66821 Removal of recurring cataract in lens capsule using a laser	17	16	$1000.00	$398.42
68761 Closure of tear duct opening using plug	13	11	$261.54	$207.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	196	110	$150.00	$103.40
92014 Established patient complete exam of visual system	132	127	$225.00	$146.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$250.00	$189.78
92133 Imaging of optic nerve	54	54	$100.00	$43.92
92136 Measurement of corneal curvature and depth of eye	48	34	$150.00	$59.06
66984 Removal of cataract with insertion of lens	44	32	$2000.00	$637.53
66821 Removal of recurring cataract in lens capsule using a laser	25	21	$1000.00	$392.96
92083 Exam of visual field with extended testing	18	17	$150.00	$75.42
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$172.06	$84.21
92134 Imaging of retina	17	15	$100.00	$45.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	301	150	$150.00	$100.29
92014 Established patient complete exam of visual system	143	142	$225.00	$143.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$250.00	$182.00
92136 Measurement of corneal curvature and depth of eye	73	47	$150.00	$65.88
92133 Imaging of optic nerve	62	60	$100.00	$41.41
66984 Removal of cataract with insertion of lens	61	39	$2000.00	$729.84
92083 Exam of visual field with extended testing	36	33	$151.39	$74.49
66821 Removal of recurring cataract in lens capsule using a laser	22	17	$1000.00	$384.03
76514 Ultrasound scan of cornea to determine thickness	21	21	$230.95	$14.12
92134 Imaging of retina	16	15	$100.00	$43.97
92004 New patient complete exam of visual system	12	12	$250.00	$172.83
92250 Photography of the retina	11	11	$150.00	$58.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	273	156	$150.00	$93.13
92014 Established patient complete exam of visual system	135	131	$225.00	$139.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$250.00	$176.27
92136 Measurement of corneal curvature and depth of eye	77	53	$150.00	$70.93
66984 Removal of cataract with insertion of lens	66	42	$2000.00	$708.58
92133 Imaging of optic nerve	59	59	$100.00	$42.18
92083 Exam of visual field with extended testing	54	53	$150.00	$68.66
92134 Imaging of retina	24	21	$100.00	$44.57
76514 Ultrasound scan of cornea to determine thickness	15	15	$250.00	$16.22
66821 Removal of recurring cataract in lens capsule using a laser	13	11	$1000.00	$349.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	274	154	$149.93	$90.56
92014 Established patient complete exam of visual system	136	132	$225.00	$139.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$250.90	$180.24
92136 Measurement of corneal curvature and depth of eye	96	64	$150.00	$90.26
66984 Removal of cataract with insertion of lens	80	54	$2000.00	$720.62
92133 Imaging of optic nerve	44	43	$100.00	$41.92
92083 Exam of visual field with extended testing	40	40	$150.00	$74.05
66821 Removal of recurring cataract in lens capsule using a laser	19	15	$1000.00	$365.97
92004 New patient complete exam of visual system	17	17	$248.59	$167.49
76514 Ultrasound scan of cornea to determine thickness	14	14	$250.00	$16.18
92134 Imaging of retina	13	12	$100.00	$46.64
68761 Closure of tear duct opening using plug	12	11	$216.67	$176.60

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101241432

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

NUCC Taxonomy Code: 207W00000X

State License NY 240173

Hospital & Practice Group Affiliations

Nova Eye Md Inc

15195 Heathcote Blvd, Haymarket, VA 201696245

Phone: 5714553800

Nova Eye Md Inc

5900 Fort Dr, Centreville, VA 201212471

Phone: 7032633147

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Jacqueline Griffiths , MD

Ophthalmology

NPI 1104891373

Doctor of Medicine (M.D.)

Dr. Stacey Simms , OD

Optometrist

NPI 1326013863

Doctor of Optometry

Dr. Allison White , OD

Optometrist

NPI 1356852818

Doctor of Optometry

Dr. Alice Oh , OD

Optometrist

NPI 1851395461

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2015

Registered at 12110 SUNSET HILLS RD, SUITE C50, RESTON, VA 201905852 (Tel: 7038349777)

📍

Updated Business Mailing Address March 23, 2015

Registered at 12110 SUNSET HILLS RD, SUITE C50, RESTON, VA 201905852 (Tel: 7038349777)

👤

Provider Name / Credentials Updated March 23, 2015

Recorded as NISHA PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2015

Ophthalmology (License #0101241432 in VA)

🟢

Initial NPI Registration & Enumeration May 14, 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: 1518173079

Entity Type:

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

Enumeration Date: May 14, 2007

Last Update: March 23, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12110 Sunset Hills Rd, Suite C50

Reston, VA 201905852

Phone: 7038349777

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.