Doctor profile · Federal record
Dr. Prajay Patel, OD
Optometrist (CMS: Optometry) · Hummelstown, PA
- NPI 1235543687
- Accepts Medicare
- 12 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
29 W Main St
Hummelstown, PA 170361538
(717) 566-3216 - Mailing address
-
1412 Greenbrier Pkwy Ste 108A
Chesapeake, VA 233202832
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- February 24, 2025
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Pennsylvania #OEG002934
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235543687. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
678
Distinct HCPCS
10
Medicare allowed
$57,297
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 214 | 205 | $124 | |
92250 |
Photography of the retina | 133 | 121 | $37 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 80 | 58 | $88 | |
92004 |
New patient complete exam of visual system | 56 | 56 | $149 | |
92134 |
Imaging of retina | 52 | 45 | $39 | |
92133 |
Imaging of optic nerve | 33 | 32 | $35 | |
92083 |
Exam of visual field with extended testing | 28 | 23 | $60 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 26 | 25 | $122 | |
92020 |
Exam of the internal drainage system of eye | 23 | 23 | $26 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 19 | 11 | $83 |
In context: peer comparison
Among 2 peers in Hummelstown Optometrist, average services per provider: 82. This provider delivers 8.3× the peer median.Open Payments
Industry payments received
All-time total
$108
Transactions
7
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperVision INC. | 4 | $63.11 | |
| Tarsus Pharmaceuticals, INC. | 2 | $31.35 | |
| Johnson & Johnson Vision Care, INC. | 1 | $13.95 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
68
Patients
12
Total drug cost
$8,825
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 38 | 12 | $426 |
| Lumigan (Bimatoprost) | Brand | 30 | 0 | $8,400 |
Frequently asked questions
What is Dr. Prajay Patel's medical specialty?
Dr. Prajay Patel practices Optometrist in Hummelstown, PA.
Where does Dr. Prajay Patel practice?
Dr. Prajay Patel practices at 29 W Main St, Hummelstown, PA 170361538. Office phone: 7175663216.
What is Dr. Prajay Patel's NPI?
Dr. Prajay Patel's National Provider Identifier (NPI) is 1235543687, issued by NPPES.
Does Dr. Prajay Patel accept Medicare assignment?
Yes. Dr. Prajay Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prajay Patel commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Photography of the retina (HCPCS 92250); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.