Active NPI 1306042478 Individual Practitioner Female Practitioner

Dr. Sheetal Manan Shah , MD

Ophthalmology • Atlanta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sheetal Shah, MD is a certified Ophthalmology practicing in Atlanta, GA. With approximately 20 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 2006, Dr. Shah delivers high-quality medical care to the local community at 1365 CLIFTON RD NE.

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

Frequently performed procedures and clinical services include microfluid analysis of tears, established patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1365 Clifton Rd Ne

Atlanta, GA 303221013

Telephone 4047782020

Associated Practice Facility / Clinic

🏢 The Emory Clinic Inc Facility NPI 1396798229

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Atlanta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -2.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

139 Specialists

Practicing in Atlanta, GA (579 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (20 Years) 20 Yrs

Atlanta Specialty Average (22.5 Years) 22.5 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
83861 Microfluid analysis of tears	496	238	$51.74	$22.03
92014 Established patient complete exam of visual system	388	384	$256.57	$119.28
99213 Established patient office or other outpatient visit, typically 15 minutes	169	138	$174.31	$89.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	113	$278.51	$125.48
92083 Exam of visual field with extended testing	109	105	$151.24	$59.38
92133 Imaging of optic nerve	100	94	$109.58	$33.14
92012 Established patient problem focused exam of visual system	99	89	$205.71	$84.24
83516 Analysis of substance using immunoassay technique	86	41	$47.56	$11.30
92134 Imaging of retina	53	53	$113.32	$38.03
92004 New patient complete exam of visual system	38	38	$342.58	$142.89
65778 Insertion of amniotic membrane to eye surface	27	14	$2889.56	$998.91
92025 Ct scan of cornea	25	21	$80.68	$34.55
66821 Removal of recurring cataract in lens capsule using a laser	19	13	$806.63	$319.14
92250 Photography of the retina	18	16	$133.61	$34.86
76514 Ultrasound scan of cornea to determine thickness	13	13	$28.85	$10.54
92286 Imaging of front third of eye using a special microscope	12	12	$63.00	$37.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	766	363	$50.00	$22.03
92014 Established patient complete exam of visual system	405	402	$200.00	$117.04
92012 Established patient problem focused exam of visual system	220	185	$185.00	$82.64
83516 Analysis of substance using immunoassay technique	145	68	$54.93	$11.30
92083 Exam of visual field with extended testing	106	104	$90.05	$57.19
92133 Imaging of optic nerve	103	102	$95.15	$32.81
99213 Established patient office or other outpatient visit, typically 15 minutes	96	76	$147.50	$85.12
92004 New patient complete exam of visual system	89	89	$315.00	$139.09
92134 Imaging of retina	71	70	$96.62	$37.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	50	$230.00	$118.87
66821 Removal of recurring cataract in lens capsule using a laser	21	13	$695.00	$307.51
92025 Ct scan of cornea	18	15	$47.50	$33.50
76514 Ultrasound scan of cornea to determine thickness	15	14	$23.00	$9.53
66821 Removal of recurring cataract in lens capsule using a laser	13	11	$695.00	$286.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	566	273	$50.00	$22.16
92014 Established patient complete exam of visual system	433	429	$200.64	$118.14
92012 Established patient problem focused exam of visual system	299	223	$185.00	$83.27
83516 Analysis of substance using immunoassay technique	169	84	$55.00	$11.37
92083 Exam of visual field with extended testing	131	129	$60.00	$58.21
92133 Imaging of optic nerve	122	116	$80.00	$33.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	76	$230.00	$122.27
92004 New patient complete exam of visual system	68	68	$315.00	$141.61
92134 Imaging of retina	64	62	$85.00	$37.51
99213 Established patient office or other outpatient visit, typically 15 minutes	61	57	$160.00	$85.00
66821 Removal of recurring cataract in lens capsule using a laser	23	18	$695.00	$290.90
92002 New patient problem focused exam of visual system	20	20	$175.00	$80.96
76514 Ultrasound scan of cornea to determine thickness	16	16	$20.00	$10.49
92025 Ct scan of cornea	12	12	$45.00	$33.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	151	$160.00	$86.56
92014 Established patient complete exam of visual system	204	200	$200.00	$119.29
83861 Microfluid analysis of tears	143	69	$50.00	$22.32
83516 Analysis of substance using immunoassay technique	112	54	$55.00	$11.32
92004 New patient complete exam of visual system	94	94	$315.00	$143.26
92012 Established patient problem focused exam of visual system	66	63	$185.00	$82.34
92083 Exam of visual field with extended testing	48	47	$106.67	$59.21
92134 Imaging of retina	29	28	$84.83	$36.94
92133 Imaging of optic nerve	23	23	$80.00	$34.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$225.00	$108.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	150	$160.44	$71.78
83861 Microfluid analysis of tears	176	80	$50.00	$22.06
92014 Established patient complete exam of visual system	162	157	$207.62	$119.40
83516 Analysis of substance using immunoassay technique	158	72	$55.00	$11.30
92004 New patient complete exam of visual system	61	61	$317.46	$144.12
92012 Established patient problem focused exam of visual system	33	31	$185.00	$84.41
92134 Imaging of retina	30	29	$85.50	$37.89
92083 Exam of visual field with extended testing	21	21	$131.43	$59.77
92133 Imaging of optic nerve	15	15	$81.00	$35.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$225.00	$104.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	205	$161.88	$71.21
83861 Microfluid analysis of tears	203	93	$50.20	$21.21
83516 Analysis of substance using immunoassay technique	182	87	$55.00	$12.15
92014 Established patient complete exam of visual system	174	170	$277.87	$119.45
92012 Established patient problem focused exam of visual system	58	53	$180.52	$81.88
92004 New patient complete exam of visual system	54	54	$336.57	$144.92
92134 Imaging of retina	34	33	$89.56	$38.19
92083 Exam of visual field with extended testing	28	28	$142.68	$58.35
92133 Imaging of optic nerve	24	24	$85.21	$35.45
76514 Ultrasound scan of cornea to determine thickness	17	16	$31.76	$11.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	413	247	$77.85	$72.99
92014 Established patient complete exam of visual system	186	182	$134.89	$117.36
83861 Microfluid analysis of tears	80	39	$55.00	$22.03
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$72.31	$68.45
83516 Analysis of substance using immunoassay technique	78	39	$55.00	$13.60
92004 New patient complete exam of visual system	71	71	$154.01	$138.23
92133 Imaging of optic nerve	30	27	$87.00	$35.59
92083 Exam of visual field with extended testing	23	23	$150.00	$57.31
76514 Ultrasound scan of cornea to determine thickness	20	18	$60.50	$14.07
92134 Imaging of retina	19	18	$85.00	$39.00
92002 New patient problem focused exam of visual system	12	12	$95.00	$78.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	172	$72.24	$66.97
92014 Established patient complete exam of visual system	157	156	$132.17	$115.01
92012 Established patient problem focused exam of visual system	147	94	$93.67	$77.33
83861 Microfluid analysis of tears	100	51	$55.00	$21.37
83516 Analysis of substance using immunoassay technique	95	47	$55.00	$13.79
92002 New patient problem focused exam of visual system	33	33	$95.00	$76.24
92004 New patient complete exam of visual system	33	33	$158.94	$137.25
65778 Insertion of amniotic membrane to eye surface	28	13	$2080.36	$1246.33
92134 Imaging of retina	24	24	$86.25	$37.23
76514 Ultrasound scan of cornea to determine thickness	14	11	$60.00	$13.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.00	$102.51
92083 Exam of visual field with extended testing	12	12	$150.00	$55.92
92133 Imaging of optic nerve	11	11	$85.00	$35.30

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License GA 66066

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.

Hospital & Practice Group Affiliations

Gainesville Eye Associates Llc

2061 Beverly Rd, Gainesville, GA 305012034

Phone: 7705324444

Gainesville Eye Associates Llc

1485 Jesse Jewell Pkwy Ne, Gainesville, GA 305013802

Phone: 7705341711

Practice Associates & Co-Workers

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

37 Associated Practitioners

Dr. Emily Graubart , MD

Ophthalmology

NPI 1013064450

Doctor of Medicine (M.D.)

Chioma Amuzie

Student in an Organized Health Care Education/Training Program

NPI 1013746338

Dr. Madison Thurmond , OD

Optometrist

NPI 1023805637

Doctor of Optometry

Dr. Joung Kim , MD

Ophthalmology

NPI 1043312390

Doctor of Medicine (M.D.)

Dr. Natalie Townsend , OD

Optometrist

NPI 1053543728

Doctor of Optometry

Anika Quillin , GC

Genetic Counselor, MS

NPI 1073355731

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2012

Registered at 1365 CLIFTON RD NE, ATLANTA, GA 303221013 (Tel: 4047782020)

📍

Updated Business Mailing Address February 23, 2012

Registered at 1365 CLIFTON RD NE, ATLANTA, GA 303221013 (Tel: 4047782020)

👤

Provider Name / Credentials Updated February 23, 2012

Recorded as SHEETAL SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2012

Ophthalmology (License #66066 in GA)

🟢

Initial NPI Registration & Enumeration June 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306042478

Entity Type:

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

Enumeration Date: June 25, 2007

Last Update: February 23, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1365 Clifton Rd Ne

Atlanta, GA 303221013

Phone: 4047782020

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.