DR. JANESSA PATEL (OD) – Optometrist, NPI 1063165108

DR. JANESSA PATEL (OD) is a healthcare provider. based in West springfield, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5529 (MA). The NPI Number for DR. JANESSA PATEL (OD) is 1063165108

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANESSA PATEL (OD)
NPI
1063165108
Phone
(413) 452-4111
Address
180 DAGGETT DR
Enumeration Date
29 January 2022
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046422222
Graduation Year
2021 (5 years ago)
PAC ID
6305225434
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20250313000749
Address ID
FL322565835JA11512AVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. JANESSA PATEL (OD)

  • 180 DAGGETT DR

    WEST SPRINGFIELD, MA 010894667

    Phone: (413) 452-4111

    Type: Mailing

  • 11512 LAKE MEAD AVE UNIT 534

    JACKSONVILLE, FL 322565835

    Phone: (904) 564-2020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $801.

Total Amount is formed as General ($801) + Research ($0) + Ownership ($0) = $801.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($323).

Total Amount

$801

General + Research + Ownership

Payments

27

Total payment records

General Amount

$801

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220621002206IOptometryMATBD
I20250313000749IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system153144$0
92134Imaging of retina131119$0
92012Established patient problem focused exam of visual system6352$0
92004New patient complete exam of visual system3737$0
99213Established patient office or other outpatient visit, 20-29 minutes3023$0
View full utilization report →

Insurance plans in this area (ZIP 01089)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
Otolaryngology, Sleep MedicineFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL

Reviews

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Frequently asked questions

Does DR. JANESSA PATEL (OD) have a public NPI I can cite?
Public records show DR. JANESSA PATEL (OD) under NPI 1063165108.
Does the public listing show DR. JANESSA PATEL (OD) as active?
DR. JANESSA PATEL (OD)'s NPI record reflects an active status in NPPES.
What services align with DR. JANESSA PATEL (OD)'s listing?
DR. JANESSA PATEL (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JANESSA PATEL (OD)?
DR. JANESSA PATEL (OD) shows a connection to West Springfield, Massachusetts in registry-derived data.
Can I export DR. JANESSA PATEL (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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