Active NPI 1992970578 Individual Practitioner Female Practitioner

Dr. Vinnie Pooja Shah , MD

Ophthalmology • Berkeley Heights, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vinnie Shah, MD is a certified Ophthalmology practicing in Berkeley Heights, NJ. With approximately 19 years of clinical experience since graduating from Js Weill Medical College, Cornell University in 2007, Dr. Shah delivers high-quality medical care to the local community at 1 DIAMOND HILL RD.

Dr. Shah is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, injection, aflibercept, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Telephone 9082778682

Fax 9082778694

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1942254347

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Berkeley Heights, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -1.7 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Berkeley Heights, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (19 Years) 19 Yrs

Berkeley Heights Specialty Average (20.7 Years) 20.7 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	1,770	1,237	$225.00	$137.98
92134 Imaging of retina	1,268	794	$211.92	$43.89
J0178 Injection, aflibercept, 1 mg	336	42	$1744.00	$812.17
99213 Established patient office or other outpatient visit, typically 15 minutes	241	193	$188.00	$99.41
92133 Imaging of optic nerve	201	139	$212.00	$38.02
67028 Injection of drug into eye	194	46	$579.92	$121.85
92083 Exam of visual field with extended testing	161	157	$200.00	$70.56
92004 New patient complete exam of visual system	146	146	$240.00	$161.60
92250 Photography of the retina	75	74	$200.00	$39.52
76512 Ultrasound of eye disease, growth, or structure	59	56	$263.00	$53.10
76514 Ultrasound scan of cornea to determine thickness	12	12	$54.00	$11.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,282	772	$211.92	$44.68
92014 Established patient complete exam of visual system	1,224	897	$225.00	$140.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	448	372	$274.00	$139.76
J0178 Injection, aflibercept, 1 mg	382	47	$1744.00	$852.14
99213 Established patient office or other outpatient visit, typically 15 minutes	227	192	$188.00	$98.41
92004 New patient complete exam of visual system	196	196	$240.00	$165.80
67028 Injection of drug into eye	189	47	$574.00	$122.95
92133 Imaging of optic nerve	171	123	$212.00	$37.92
92083 Exam of visual field with extended testing	134	130	$200.00	$69.79
92250 Photography of the retina	88	86	$200.00	$41.40
76512 Ultrasound of eye disease, growth, or structure	47	46	$263.00	$54.01
76514 Ultrasound scan of cornea to determine thickness	22	20	$54.00	$11.94
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$80.00	$30.82
92012 Established patient problem focused exam of visual system	15	15	$180.00	$101.68
92228 Imaging of retina with remote review by physician	14	14	$105.00	$32.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$274.00	$113.69

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	1,252	808	$274.00	$141.50
92134 Imaging of retina	1,048	590	$212.00	$45.68
J0178 Injection, aflibercept, 1 mg	411	52	$1744.00	$881.21
92004 New patient complete exam of visual system	233	233	$240.00	$170.52
99213 Established patient office or other outpatient visit, typically 15 minutes	210	170	$188.00	$101.53
67028 Injection of drug into eye	193	54	$600.77	$129.89
92014 Established patient complete exam of visual system	189	173	$225.00	$143.48
92250 Photography of the retina	157	148	$200.00	$41.51
92083 Exam of visual field with extended testing	107	100	$200.00	$72.15
92133 Imaging of optic nerve	103	87	$212.00	$39.49
76512 Ultrasound of eye disease, growth, or structure	40	39	$263.00	$54.81
92012 Established patient problem focused exam of visual system	34	33	$180.00	$102.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$274.00	$125.94
92002 New patient problem focused exam of visual system	16	16	$195.00	$95.31
92201 Extended exam of the back part of the eye with retinal drawing	15	15	$85.00	$27.62
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	11	$38.00	$17.07
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$80.00	$31.66
76514 Ultrasound scan of cornea to determine thickness	12	12	$54.00	$12.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,269	810	$225.00	$144.08
92134 Imaging of retina	980	519	$212.00	$46.40
J0178 Injection, aflibercept, 1 mg	393	50	$1744.00	$904.76
92004 New patient complete exam of visual system	244	244	$240.00	$171.35
99213 Established patient office or other outpatient visit, typically 15 minutes	224	179	$188.00	$102.99
67028 Injection of drug into eye	190	51	$587.59	$130.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	109	$274.00	$144.91
92083 Exam of visual field with extended testing	90	86	$200.00	$74.20
92133 Imaging of optic nerve	78	74	$212.00	$40.48
92250 Photography of the retina	69	69	$200.00	$43.51
76512 Ultrasound of eye disease, growth, or structure	38	38	$263.00	$56.73
76514 Ultrasound scan of cornea to determine thickness	18	18	$54.00	$12.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$274.00	$126.76
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$80.00	$31.87

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	1,068	681	$274.00	$121.51
92134 Imaging of retina	788	450	$212.00	$46.22
J0178 Injection, aflibercept, 1 mg	220	32	$1744.00	$930.46
99213 Established patient office or other outpatient visit, typically 15 minutes	213	176	$188.00	$83.38
92004 New patient complete exam of visual system	168	168	$240.00	$168.04
67028 Injection of drug into eye	113	34	$584.16	$115.88
92083 Exam of visual field with extended testing	70	69	$200.00	$71.78
92133 Imaging of optic nerve	68	66	$212.00	$41.04
92250 Photography of the retina	63	63	$200.00	$52.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$274.00	$121.16
76512 Ultrasound of eye disease, growth, or structure	42	41	$263.00	$57.91
92014 Established patient complete exam of visual system	32	31	$225.00	$143.38
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$80.00	$31.32
76514 Ultrasound scan of cornea to determine thickness	22	22	$54.00	$12.71
36415 Insertion of needle into vein for collection of blood sample	14	13	$15.00	$2.99
85652 Red blood cell sedimentation rate, to detect inflammation, automated	13	13	$12.00	$2.69
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$32.00	$7.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,104	691	$225.00	$140.14
92134 Imaging of retina	624	345	$212.00	$45.34
92012 Established patient problem focused exam of visual system	271	216	$180.00	$97.46
J0178 Injection, aflibercept, 1 mg	230	30	$1744.00	$943.21
92250 Photography of the retina	227	225	$200.00	$56.78
92004 New patient complete exam of visual system	153	153	$240.00	$166.84
67028 Injection of drug into eye	136	34	$580.33	$114.18
92133 Imaging of optic nerve	64	63	$212.00	$40.27
92083 Exam of visual field with extended testing	58	53	$200.00	$70.62
92002 New patient problem focused exam of visual system	45	45	$195.00	$94.84
76512 Ultrasound of eye disease, growth, or structure	42	42	$263.00	$64.65
76514 Ultrasound scan of cornea to determine thickness	30	30	$54.00	$12.74
92020 Examination of cornea and iris using lens device and slit lamp	28	28	$80.00	$29.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	862	588	$225.00	$139.81
92134 Imaging of retina	409	260	$212.00	$46.35
92012 Established patient problem focused exam of visual system	212	174	$180.00	$98.52
92250 Photography of the retina	201	199	$200.00	$63.51
92004 New patient complete exam of visual system	157	157	$240.00	$168.11
J0178 Injection, aflibercept, 1 mg	119	19	$1730.72	$952.89
67028 Injection of drug into eye	95	24	$583.06	$111.73
92083 Exam of visual field with extended testing	56	53	$200.00	$73.49
92133 Imaging of optic nerve	56	55	$212.00	$42.49
92002 New patient problem focused exam of visual system	35	35	$195.00	$94.06
76514 Ultrasound scan of cornea to determine thickness	34	33	$54.35	$16.16
92020 Examination of cornea and iris using lens device and slit lamp	32	32	$80.00	$29.88
76512 Ultrasound of eye disease, growth, or structure	13	13	$263.00	$73.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	560	417	$212.52	$134.46
92134 Imaging of retina	306	209	$205.02	$44.56
J0178 Injection, aflibercept, 1 mg	172	30	$1309.19	$919.38
92012 Established patient problem focused exam of visual system	140	119	$174.57	$94.88
92250 Photography of the retina	131	129	$181.30	$72.45
67028 Injection of drug into eye	104	40	$397.25	$113.74
92004 New patient complete exam of visual system	61	61	$240.00	$165.41
92002 New patient problem focused exam of visual system	24	24	$193.13	$90.90
92133 Imaging of optic nerve	22	21	$210.91	$41.83
92083 Exam of visual field with extended testing	21	19	$189.29	$71.40

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA08916300

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License CT 053079

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

004001665 (CT)

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Beth Rosenblatt , OD

Optometrist - Corneal and Contact Management

NPI 1043246952

Doctor of Optometry

Dr. Renu Shah , OD

Optometrist

NPI 1235494485

Doctor of Optometry

Dr. Eric Gurwin , MD

Ophthalmology

NPI 1275535312

Doctor of Medicine (M.D.)

Dr. Stefanie Knapp , MD

Ophthalmology

NPI 1376651257

Doctor of Medicine (M.D.)

Dr. Hamed Bazargan Lari , MD

Ophthalmology

NPI 1437384062

Doctor of Medicine (M.D.)

Dr. Berit Goro , OD

Optometrist

NPI 1528136595

Doctor of Optometry

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2017

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082778682)

📍

Updated Business Mailing Address December 13, 2017

Registered at 2371 BLACK ROCK TPKE, FAIRFIELD, CT 068253229 (Tel: 2033710141)

👤

Provider Name / Credentials Updated December 13, 2017

Recorded as VINNIE SHAH, M.D.

🎓

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

Ophthalmology (License #25MA08916300 in NJ)

✅

NPI Profile Active June 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2015

Registered at 2371 BLACK ROCK TPKE, FAIRFIELD, CT 068253229 (Tel: 2033710141)

📍

Updated Business Mailing Address June 12, 2015

Registered at 2371 BLACK ROCK TPKE, FAIRFIELD, CT 068253229 (Tel: 2033710141)

👤

Provider Name / Credentials Updated June 12, 2015

Recorded as VINNIE SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2015

Ophthalmology (License #053079 in CT)

🟢

Initial NPI Registration & Enumeration April 24, 2008

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: 1992970578

Entity Type:

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

Enumeration Date: April 24, 2008

Last Update: December 13, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2371 Black Rock Tpke

Fairfield, CT 068253229

Phone: 2033710141

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.