Active NPI 1619380755 Individual Practitioner Female Practitioner

Dr. Sonali Patel , OD

Optometrist • Jackson, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sonali Patel, OD is a certified Optometrist practicing in Jackson, WI. With approximately 12 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2014, Dr. Patel delivers high-quality medical care to the local community at W225N16711 CEDAR PARK CT.

Dr. Patel is affiliated with Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and accepts Medicare assignment.

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

W225n16711 Cedar Park Ct

Jackson, WI 530379222

Telephone 2626771101

Fax 2626770121

Associated Practice Facility / Clinic

🏢 West Bend Clinic Facility NPI 1275542607

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jackson, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -6.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Jackson, WI (1196 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (12 Years) 12 Yrs

Jackson Specialty Average (18.5 Years) 18.5 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	178	176	$478.62	$121.32
99213 Established patient office or other outpatient visit, typically 15 minutes	101	90	$264.36	$86.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	75	$406.93	$122.53
92134 Imaging of retina	95	78	$256.37	$38.63
92083 Exam of visual field with extended testing	90	64	$365.78	$60.97
92133 Imaging of optic nerve	78	57	$250.64	$32.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$602.38	$158.89
92004 New patient complete exam of visual system	24	24	$574.67	$143.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$408.10	$106.09
76514 Ultrasound scan of cornea to determine thickness	15	15	$113.87	$10.53
92250 Photography of the retina	13	11	$457.54	$35.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	92	91	$445.65	$121.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	83	$395.92	$120.38
92134 Imaging of retina	69	55	$247.23	$38.59
92083 Exam of visual field with extended testing	55	37	$353.93	$60.05
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$260.00	$85.95
92133 Imaging of optic nerve	43	33	$241.65	$32.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$590.00	$152.56
92004 New patient complete exam of visual system	22	22	$523.91	$139.24
92250 Photography of the retina	16	16	$448.81	$35.23

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	88	74	$380.88	$122.02
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$256.00	$86.82
92134 Imaging of retina	69	57	$237.96	$38.94
92014 Established patient complete exam of visual system	64	64	$393.75	$121.71
92004 New patient complete exam of visual system	47	47	$472.55	$145.29
92083 Exam of visual field with extended testing	42	31	$338.05	$60.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$583.46	$156.18
92133 Imaging of optic nerve	37	31	$233.16	$33.71
92250 Photography of the retina	28	27	$432.21	$35.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$385.31	$106.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	79	79	$385.75	$122.71
99213 Established patient office or other outpatient visit, typically 15 minutes	59	52	$250.10	$87.48
92004 New patient complete exam of visual system	57	57	$460.60	$146.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	36	$372.00	$124.32
92134 Imaging of retina	40	37	$231.90	$39.27
92083 Exam of visual field with extended testing	33	27	$331.58	$61.04
92250 Photography of the retina	25	22	$417.20	$37.69
92133 Imaging of optic nerve	21	18	$220.38	$33.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$372.56	$107.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$569.08	$160.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	41	41	$328.98	$123.77
92004 New patient complete exam of visual system	39	39	$386.97	$139.40
92250 Photography of the retina	23	23	$243.04	$43.52
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$160.00	$72.32
92134 Imaging of retina	12	12	$201.67	$39.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	13	13	$131.15	$121.12

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	152	140	$188.39	$100.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$283.28	$152.90
99213 Established patient office or other outpatient visit, typically 15 minutes	54	38	$126.00	$67.36
92134 Imaging of retina	32	29	$99.00	$39.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$190.00	$100.66
92083 Exam of visual field with extended testing	17	15	$139.00	$60.44
92014 Established patient complete exam of visual system	15	15	$148.40	$119.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$250.71	$136.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$282.00	$151.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	33	$186.00	$97.81
92250 Photography of the retina	25	24	$167.00	$61.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$190.00	$101.00
92134 Imaging of retina	16	15	$99.00	$38.51
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$126.00	$66.67
92133 Imaging of optic nerve	11	11	$97.00	$34.04

Medical Specialties & State Licenses

CMS Verified: 2020-08-21

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18004015A

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IL 046.010774

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

300002146 (IN)

Hospital & Practice Group Affiliations

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

W225n16711 Cedar Park Ct, Jackson, WI 530379222

Phone: 2626771101

Secondary Practice Locations

200 Springs Rd

Bedford, MA 017301114

Phone: 7816872000

Practice Associates & Co-Workers

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

8 Associated Practitioners

Shannon Skowron , APNP

Nurse Practitioner - Family

NPI 1063128221

Advanced Practice Nurse Prescriber

Dr. Elizabeth Mortag , DPT

Physical Therapist

NPI 1134522170

Doctor of Physical Therapy

Dr. Sara Wollemann , DNP, FNP-BC, APNP

Nurse Practitioner - Family

NPI 1205631660

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified), Advanced Practice Nurse Prescriber

Nathan Matje , PT

Physical Therapist

NPI 1285675926

Physical Therapist

Dr. Samuel Stevens , MD

Family Medicine

NPI 1306379698

Doctor of Medicine (M.D.)

Dr. Diane Witek , MD

Family Medicine

NPI 1316157779

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location November 10, 2020

Registered at W225N16711 CEDAR PARK CT, JACKSON, WI 530379222 (Tel: 2626771101)

📍

Updated Business Mailing Address November 10, 2020

Registered at W225N16711 CEDAR PARK CT, JACKSON, WI 530379222 (Tel: 2626771101)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2020

Optometrist (License #046.010774 in IL)

✅

NPI Profile Active November 13, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address November 13, 2017

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

📍

Updated Practice Location November 13, 2017

Registered at 200 SPRINGS RD, BEDFORD, MA 017301114 (Tel: 7816872000)

👤

Provider Name / Credentials Updated November 13, 2017

Recorded as SONALI PATEL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2017

Optometrist (License #18004015A in IN)

✅

NPI Profile Active June 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 06, 2014

Registered at 200 SPRINGS RD, BEDFORD, MA 017301114 (Tel: 7816872000)

📍

Updated Business Mailing Address June 06, 2014

Registered at 200 SPRINGS RD, BEDFORD, MA 017301114

👤

Provider Name / Credentials Updated June 06, 2014

Recorded as SONALI PATEL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2014

Optometrist (License #046.010774 in IL)

🟢

Initial NPI Registration & Enumeration June 06, 2014

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: 1619380755

Entity Type:

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

Enumeration Date: June 06, 2014

Last Update: November 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

W225n16711 Cedar Park Ct

Jackson, WI 530379222

Phone: 2626771101

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.