Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Chaulaben Patel

Optometrist • Sparta, NJ

Active NPI 1619381126 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

21 Lafayette Rd Ste C
Sparta, NJ 078713575

Call 9737297755 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

21 Lafayette Rd Ste C

Sparta, NJ 078713575

Telephone 9737297755
Organization at the Same NPPES Address or Phone
S&d Optical Facility NPI 1154087732

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Medicare patients

131 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $23,291 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $16,017 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

164 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$24,455 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $167.58 across 5 records.

By nature of payment

  • Food and Beverage: $167.58 across 5 records.

Reporting-company totals

  • Dompe US, Inc.: $105.36 across 1 record.
  • Alcon Vision LLC: $46.40 across 3 records.
  • Bausch & Lomb Americas Inc.: $15.82 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Chaulaben Patel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Chaulaben Patel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sparta and New Jersey

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Optometrist in New Jersey (2024, 784 clinicians with data). Median for this group: 296. Middle half: 104 to 676.

Too few clinicians listed under Optometrist in Sparta have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Optometrist in New Jersey (2024, 784 clinicians with data). Median for this group: $27,520. Middle half: $10,698 to $61,758.

Too few clinicians listed under Optometrist in Sparta have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Optometrist in New Jersey (2024, 784 clinicians with data). Median for this group: $19,563. Middle half: $7,373 to $42,968.

Too few clinicians listed under Optometrist in Sparta have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Optometrist in New Jersey (2024, 699 clinicians with data). Median for this group: 114. Middle half: 40 to 298.

Too few clinicians listed under Optometrist in Sparta have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Optometrist in New Jersey (2024, 699 clinicians with data). Median for this group: $16,445. Middle half: $996 to $54,030.

Too few clinicians listed under Optometrist in Sparta have Medicare Part D data for 2024 to compare.

12 active clinicians are listed under Optometrist with a practice address in Sparta, NJ (1,542 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sparta

0% of these 12 clinicians have the CMS telehealth indicator.

66.7% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $167.58.

Manufacturer Payment Nature Product Type Amount ($)
Dompe US, Inc.
Food and Beverage
In-kind items and services
OXERVATE General $105.36
Alcon Vision LLC
Food and Beverage
In-kind items and services
DAILIES TOTAL1 General $16.04
Bausch & Lomb Americas Inc.
Food and Beverage
In-kind items and services
INFUSE General $15.82
Alcon Vision LLC
Food and Beverage
In-kind items and services
Precision7 General $15.68
Alcon Vision LLC
Food and Beverage
In-kind items and services
Precision7 General $14.68

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
92 92 $150.00 $139.45
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
38 33 $105.00 $99.67
92083 Exam of visual field with extended testing
34 22 $93.00 $70.90
92133 Imaging of optic nerve
31 21 $56.00 $36.75
92004 New patient complete exam of visual system
19 19 $185.00 $164.45

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Lumigan Bimatoprost 42 2,880 $23,728.05 —
Latanoprost Latanoprost 15 1,097 $527.24 —
Timolol Maleate Timolol Maleate 11 939 $200.16 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-15
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES NJ 27OA00704100

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20211124000068

Enrollment State Jurisdiction

NJ

PECOS Control ID

8729306741

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1700880341

Doctor of Optometry

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location November 15, 2021

Registered at 21 LAFAYETTE RD STE C, SPARTA, NJ 078713575 (Tel: 9737297755)

📍
Updated Business Mailing Address November 15, 2021

Registered at 21 LAFAYETTE RD STE C, SPARTA, NJ 078713575 (Tel: 9737297755)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2021

Optometrist (license number reported to NPPES: NJ 27OA00704100)

✅
NPI Profile Active June 12, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 12, 2014

Registered at 22307 EUREKA RD, TAYLOR, MI 481806016 (Tel: 7342857650)

📍
Business Mailing Address (Initial Record) June 12, 2014

Registered at 22307 EUREKA RD, TAYLOR, MI 481806016 (Tel: 7342857650)

👤
Provider Name / Credentials (Initial Record) June 12, 2014

Recorded as CHAULABEN PATEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2014

Optometrist (license number reported to NPPES: MI 4901004821)

🟢
Initial NPI Registration & Enumeration June 12, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1619381126
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2014
Last Update: November 15, 2021
Sole Proprietor: No

Other Optometrists in Sparta

All Optometrists in Sparta

Mailing Address

21 Lafayette Rd Ste C

Sparta, NJ 078713575

Phone: 9737297755

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.