Active NPI 1104833276 Individual Practitioner Male Practitioner

Dr. Himanshu S Shah , MD

Ophthalmology • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Himanshu Shah, MD is a certified Ophthalmology practicing in Edison, NJ. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Shah delivers high-quality medical care to the local community at 228 PLAINFIELD AVE.

Dr. Shah is affiliated with Patel Eye Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, exam of visual field with extended testing, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

228 Plainfield Ave

Edison, NJ 088173738

Telephone 7329855009

Fax 7329855155

Associated Practice Facility / Clinic

🏢 Patel Eye Associates Llc Facility NPI 1831305267

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -5.4 yrs vs City Avg

City Avg: 37.4 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Edison, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (32 Years) 32 Yrs

Edison Specialty Average (37.4 Years) 37.4 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	218	179	$200.00	$139.42
92083 Exam of visual field with extended testing	198	191	$160.00	$71.00
92250 Photography of the retina	158	157	$200.00	$37.55
99213 Established patient office or other outpatient visit, typically 15 minutes	89	74	$175.00	$99.65
76512 Ultrasound of eye disease, growth, or structure	85	44	$207.06	$49.60
92134 Imaging of retina	80	71	$150.00	$43.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$300.00	$182.57
92133 Imaging of optic nerve	48	48	$150.00	$38.44
65778 Insertion of amniotic membrane to eye surface	26	12	$2923.08	$1249.86
76514 Ultrasound scan of cornea to determine thickness	14	14	$40.00	$11.80
92201 Extended exam of the back part of the eye with retinal drawing	12	12	$100.00	$26.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	167	164	$160.00	$71.74
92014 Established patient complete exam of visual system	167	138	$200.00	$143.01
92250 Photography of the retina	164	162	$200.00	$38.50
76512 Ultrasound of eye disease, growth, or structure	113	53	$205.31	$50.86
99213 Established patient office or other outpatient visit, typically 15 minutes	73	57	$175.00	$100.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$300.00	$184.08
92134 Imaging of retina	55	52	$150.00	$44.58
92133 Imaging of optic nerve	31	29	$150.00	$40.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$285.92	$141.70
92201 Extended exam of the back part of the eye with retinal drawing	16	15	$100.00	$27.21
76514 Ultrasound scan of cornea to determine thickness	12	11	$40.00	$11.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	268	195	$200.00	$144.74
92083 Exam of visual field with extended testing	188	185	$160.00	$72.86
92250 Photography of the retina	182	179	$200.00	$38.66
76512 Ultrasound of eye disease, growth, or structure	67	44	$280.60	$51.41
92134 Imaging of retina	58	53	$150.00	$45.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$300.00	$186.19
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$156.25	$101.42
92133 Imaging of optic nerve	33	32	$150.00	$41.24
76514 Ultrasound scan of cornea to determine thickness	26	26	$40.00	$12.26
92201 Extended exam of the back part of the eye with retinal drawing	11	11	$95.93	$27.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$289.26	$142.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	237	181	$200.00	$146.11
92250 Photography of the retina	103	101	$200.00	$40.55
92083 Exam of visual field with extended testing	100	98	$160.00	$74.20
76512 Ultrasound of eye disease, growth, or structure	63	27	$209.52	$53.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$300.00	$188.21
99213 Established patient office or other outpatient visit, typically 15 minutes	35	28	$130.00	$103.23
92134 Imaging of retina	19	19	$103.28	$46.25
92201 Extended exam of the back part of the eye with retinal drawing	14	14	$72.35	$27.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	71	67	$200.00	$144.34
99213 Established patient office or other outpatient visit, typically 15 minutes	61	43	$130.00	$84.80
92083 Exam of visual field with extended testing	54	54	$160.00	$73.52
92250 Photography of the retina	53	52	$200.00	$47.01
76512 Ultrasound of eye disease, growth, or structure	20	14	$320.00	$57.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$100.00	$26.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$300.00	$184.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	138	116	$200.00	$143.14
92083 Exam of visual field with extended testing	138	135	$160.00	$72.28
92250 Photography of the retina	136	135	$200.00	$51.64
99213 Established patient office or other outpatient visit, typically 15 minutes	74	62	$130.00	$82.74
76512 Ultrasound of eye disease, growth, or structure	58	26	$200.00	$64.43
92136 Measurement of corneal curvature and depth of eye	36	35	$200.00	$80.43
92134 Imaging of retina	25	25	$150.00	$45.24
76514 Ultrasound scan of cornea to determine thickness	25	24	$40.00	$13.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$300.00	$181.46
92004 New patient complete exam of visual system	20	20	$300.00	$170.30
92133 Imaging of optic nerve	13	13	$150.00	$41.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	141	$130.00	$80.89
92083 Exam of visual field with extended testing	158	156	$160.00	$72.12
92250 Photography of the retina	158	156	$146.84	$57.32
92014 Established patient complete exam of visual system	59	54	$190.51	$141.74
76512 Ultrasound of eye disease, growth, or structure	46	34	$321.74	$80.16
92004 New patient complete exam of visual system	46	46	$236.96	$169.27
92136 Measurement of corneal curvature and depth of eye	35	33	$200.00	$90.41
92134 Imaging of retina	30	28	$150.00	$45.73
76514 Ultrasound scan of cornea to determine thickness	22	22	$40.00	$16.19
92133 Imaging of optic nerve	20	20	$150.00	$42.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	140	$130.00	$75.70
92083 Exam of visual field with extended testing	158	157	$160.00	$61.14
92250 Photography of the retina	155	153	$120.00	$68.54
92004 New patient complete exam of visual system	52	52	$200.00	$155.66
92136 Measurement of corneal curvature and depth of eye	42	42	$200.00	$96.62
76512 Ultrasound of eye disease, growth, or structure	38	30	$368.42	$91.64
92014 Established patient complete exam of visual system	29	28	$160.00	$130.07
92133 Imaging of optic nerve	26	26	$150.00	$38.70
92134 Imaging of retina	24	24	$150.00	$41.78
76514 Ultrasound scan of cornea to determine thickness	21	21	$40.00	$14.86

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA05351800

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6276903 (NJ)

Hospital & Practice Group Affiliations

Patel Eye Associates Llc

228 Plainfield Ave, Edison, NJ 088173868

Phone: 7329855009

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Hitesh Patel , MD

Ophthalmology

NPI 1215959622

Doctor of Medicine (M.D.)

Dr. Gary Steinberg , OD

Optometrist

NPI 1538575758

Doctor of Optometry

Dr. Daniel Diamond , OD

Optometrist

NPI 1730666058

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 228 PLAINFIELD AVE, EDISON, NJ 088173738 (Tel: 7329855009)

📍

Updated Business Mailing Address July 08, 2007

Registered at 228 PLAINFIELD AVE, EDISON, NJ 088173738

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as HIMANSHU SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #25MA05351800 in NJ)

🟢

Initial NPI Registration & Enumeration August 02, 2006

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: 1104833276

Entity Type:

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

Enumeration Date: August 02, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

228 Plainfield Ave

Edison, NJ 088173738

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.