GARGEE A PATEL DOCTOR OF OPTOMETRY
NPI 1609396084
Optometrist in Richmond, VA
NPI Status: Active since June 26, 2017
Contact Information
400 WESTHAMPTON STA
RICHMOND, VA
ZIP 23226
Phone: (804) 287-4200
Fax: (804) 287-4210
- Individual
- Female
- Optometrist
- Accepts Insurance
- PECOS Enrolled
About GARGEE PATEL
This page provides the complete NPI Profile along with additional information for Gargee Patel, a provider established in Richmond, Virginia with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1609396084 assigned on June 2017. The practitioner's primary taxonomy code is 152W00000X with license number 0618002588 (VA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1609396084
- Provider Name
- GARGEE A PATEL DOCTOR OF OPTOMETRY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 400 WESTHAMPTON STA RICHMOND, VA 23226
- Location Phone
- (804) 287-4200
- Location Fax
- (804) 287-4210
- Mailing Address
- 400 WESTHAMPTON STA RICHMOND, VA 23226
- Mailing Phone
- (804) 287-4200
- Mailing Fax
- (804) 287-4210
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-26-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 735 Dominion Sq Shopping Ctr
Culpeper, VA 22701
(434) 409-5045 - 400 James Madison Hwy
Culpeper, VA 22701
(434) 409-5045
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 0618002588
- License State
- VA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
- MyBlue Silver HMO? 803 - HMO
- MyBlue Silver HMO? Standard - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gargee Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 45-59 minutes
Photography of content of eyes
Photography of the retina
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 27 times for 23 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 41 times for 41 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 16 times for 16 patientsPhotography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
This service was performed 18 times for 16 patientsPhotography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
This service was performed 24 times for 24 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 23226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $129.04
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $32.26
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.08
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $17.52
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 3 | 9 | 6 | 0 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 9 | 12 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 9 + 1 + 2 + 0 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1609396084 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295787141 | DR. SETH RUSSELL KRAWITZ MD Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (206) 841-4635 |
| 1811901846 | DR. JOHN PAUL BULLOCK JR. M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1366453128 | JEFFREY HOWARD SLOTT M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1619988219 | WALTER EDWARD BUNDY III M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1982719860 | THOMAS TODD DABNEY JR. M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1548375579 | THOMAS SCOT CAROTHERS M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1154439776 | ANTHONY DOMINIC SAKOWSKI JR. M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1497864425 | READ FLOURNOY MCGEHEE III M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1376649160 | EDMUND WINSTON TRICE M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1831381425 | DR. ROBERT MARK KNAPE M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1972611697 | ETHNIE SMALL JONES M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1689782252 | THEODORE T WU M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1497763437 | EYE DOCTORS OF RICHMOND, PLLC Organization | Optometrist | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1437598679 | DR. KENSINGTON HATCHER O.D. Individual | Optometrist | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1720184674 | POLLY ANNETTE PURGASON M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1285078014 | MARK PHILIP MACMILLAN O.D. Individual | Optometrist (Corneal and Contact Management) | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1760778401 | CHRISTOPHER BLAKE ESTOPINAL M.D. Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4703 |
| 1063962587 | VIRGINIA DANIEL FNP Individual | Nurse Practitioner (Family) | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4200 |
| 1568998078 | ANITA GRACE CARPENTER CONTACT LENS SPEC. Individual | Technician/Technologist (Contact Lens Fitter) | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 287-4234 |
| 1043242233 | DR. CRYSTAN M SCHNEIDER MD Individual | Ophthalmology | 400 WESTHAMPTON STA RICHMOND, VA 23226 (804) 443-6180 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609396084, enumerated in the NPI registry as an "individual" on June 26, 2017
The provider is located at 400 Westhampton Sta Richmond, Va 23226 and the phone number is (804) 287-4200
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $129.04 with an average copayment of $32.26 for new patient appointments. Established patients should expect a typical charge of $70.08 and an average copayment of 17.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 45-59 minutes, Photography of content of eyes and Photography of the retina.
This NPI record was last updated on June 26, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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