Active NPI 1518286558 Individual Practitioner Male Practitioner

Dr. Krishna Prahalad Shanmugam , MD

Ophthalmology • Lubbock, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Krishna Shanmugam, MD is a certified Ophthalmology practicing in Lubbock, TX. With approximately 16 years of clinical experience since graduating from Baylor College Of Medicine in 2010, Dr. Shanmugam delivers high-quality medical care to the local community at 3601 4TH ST.

Dr. Shanmugam accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of optic nerve, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3601 4th St
Ms 6211

Lubbock, TX 794306211

Telephone 8067432020

Associated Practice Facility / Clinic

🏢 Texas Tech University Health Sciences Center Lubbock Facility NPI 1306894175

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lubbock, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -10.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

48 Specialists

Practicing in Lubbock, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shanmugam (16 Years) 16 Yrs

Lubbock Specialty Average (26.7 Years) 26.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	240	$248.33	$122.44
92133 Imaging of optic nerve	271	241	$69.83	$33.10
92136 Measurement of corneal curvature and depth of eye	168	135	$90.44	$44.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$324.30	$158.96
66982 Complex removal of cataract with insertion of prosthetic lens	127	57	$1108.42	$441.00
76514 Ultrasound scan of cornea to determine thickness	111	111	$21.81	$10.07
92083 Exam of visual field with extended testing	74	64	$120.93	$59.63
66821 Removal of recurring cataract in lens capsule using a laser	72	48	$637.90	$314.00
66984 Removal of cataract with insertion of lens	60	29	$756.62	$316.90
92025 Ct scan of cornea	46	37	$69.59	$32.67
65820 Incision to improve eye fluid flow	22	11	$1568.99	$772.29
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$52.74	$25.99
92134 Imaging of retina	20	19	$77.50	$37.46
68761 Closure of tear duct opening using plug	14	13	$398.65	$196.23

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	449	245	$248.47	$122.57
92133 Imaging of optic nerve	246	216	$71.22	$33.58
92136 Measurement of corneal curvature and depth of eye	185	157	$91.64	$44.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	157	157	$323.65	$159.76
92083 Exam of visual field with extended testing	133	108	$121.09	$59.67
66982 Complex removal of cataract with insertion of prosthetic lens	128	58	$1075.36	$436.45
76514 Ultrasound scan of cornea to determine thickness	121	121	$22.10	$10.22
66984 Removal of cataract with insertion of lens	111	52	$799.08	$305.66
92025 Ct scan of cornea	68	49	$70.38	$33.12
66821 Removal of recurring cataract in lens capsule using a laser	59	37	$644.85	$317.61
92134 Imaging of retina	36	32	$78.31	$37.62
92020 Examination of cornea and iris using lens device and slit lamp	31	31	$53.83	$26.53
65820 Incision to improve eye fluid flow	30	17	$1591.88	$783.96
68200 Injection into conjunctiva	25	24	$65.33	$16.12
68761 Closure of tear duct opening using plug	23	19	$392.62	$194.72

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	332	186	$250.76	$123.85
92133 Imaging of optic nerve	177	167	$72.12	$33.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	177	177	$325.96	$161.35
92136 Measurement of corneal curvature and depth of eye	175	152	$97.68	$47.69
76514 Ultrasound scan of cornea to determine thickness	150	146	$22.40	$10.42
66984 Removal of cataract with insertion of lens	148	63	$776.07	$306.05
92083 Exam of visual field with extended testing	128	104	$122.66	$60.68
66982 Complex removal of cataract with insertion of prosthetic lens	60	31	$1106.36	$431.51
92020 Examination of cornea and iris using lens device and slit lamp	52	52	$55.10	$27.29
92025 Ct scan of cornea	41	32	$70.64	$33.26
68200 Injection into conjunctiva	36	33	$65.94	$16.77
92134 Imaging of retina	31	24	$79.54	$38.07
65820 Incision to improve eye fluid flow	27	16	$1611.18	$797.00
66821 Removal of recurring cataract in lens capsule using a laser	18	13	$648.68	$309.48
68761 Closure of tear duct opening using plug	18	15	$401.31	$198.60

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	160	92	$252.10	$124.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$323.71	$162.28
92133 Imaging of optic nerve	103	99	$72.72	$34.45
76514 Ultrasound scan of cornea to determine thickness	97	96	$22.58	$10.62
92083 Exam of visual field with extended testing	72	60	$123.68	$60.56
92136 Measurement of corneal curvature and depth of eye	69	66	$107.14	$53.40
66984 Removal of cataract with insertion of lens	67	38	$1003.89	$430.56
92020 Examination of cornea and iris using lens device and slit lamp	44	44	$55.45	$26.09
92285 Photography of content of eyes	29	11	$44.30	$21.54
68200 Injection into conjunctiva	21	19	$66.48	$16.74
92025 Ct scan of cornea	13	11	$71.90	$34.91

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	64	55	$195.03	$76.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$200.17	$74.29
92083 Exam of visual field with extended testing	27	27	$100.00	$24.70
92133 Imaging of optic nerve	25	25	$71.54	$24.74
92083 Exam of visual field with extended testing	23	21	$100.00	$26.87
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$130.78	$49.44
76514 Ultrasound scan of cornea to determine thickness	14	14	$35.00	$7.84
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$126.00	$49.96
92134 Imaging of retina	13	13	$71.69	$25.90
76514 Ultrasound scan of cornea to determine thickness	12	12	$33.07	$8.47

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	323	205	$194.89	$76.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	124	$194.19	$76.61
92083 Exam of visual field with extended testing	124	110	$100.00	$26.88
99213 Established patient office or other outpatient visit, typically 15 minutes	109	90	$126.00	$49.70
92133 Imaging of optic nerve	105	96	$71.00	$21.53
66984 Removal of cataract with insertion of lens	102	63	$2200.00	$416.51
76514 Ultrasound scan of cornea to determine thickness	81	75	$35.00	$7.82
92083 Exam of visual field with extended testing	71	68	$100.00	$26.69
92136 Measurement of corneal curvature and depth of eye	63	40	$118.95	$37.95
99213 Established patient office or other outpatient visit, typically 15 minutes	62	55	$130.94	$49.09
92020 Examination of cornea and iris using lens device and slit lamp	60	52	$58.00	$20.45
65820 Incision to improve eye fluid flow	56	37	$1785.00	$452.46
92134 Imaging of retina	55	51	$71.00	$24.85
66174 Dilation of fluid outflow drainage within eye	53	35	$2355.00	$901.56
92133 Imaging of optic nerve	50	50	$71.00	$21.19
68761 Closure of tear duct opening using plug	48	43	$522.44	$138.24
65855 Laser repair to improve eye fluid flow	45	25	$715.00	$198.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$189.00	$74.27
76514 Ultrasound scan of cornea to determine thickness	35	33	$35.00	$7.85
92136 Measurement of corneal curvature and depth of eye	32	19	$101.25	$34.05
92134 Imaging of retina	31	29	$71.00	$24.62
92020 Examination of cornea and iris using lens device and slit lamp	29	24	$58.00	$20.44
66821 Removal of recurring cataract in lens capsule using a laser	22	18	$925.00	$288.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$189.00	$74.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$319.00	$125.73
66250 Revision or repair of operative wound of eye	15	12	$2786.00	$425.42
92025 Ct scan of cornea	13	13	$52.00	$19.41
66710 Destruction of lens tissue using laser	13	11	$1082.00	$358.51
66180 Creation of shunt to improve eye fluid flow using tissue graft	12	11	$2790.00	$846.29

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	193	142	$193.97	$75.21
99213 Established patient office or other outpatient visit, typically 15 minutes	174	124	$125.55	$49.45
99213 Established patient office or other outpatient visit, typically 15 minutes	151	103	$127.66	$49.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	100	$192.89	$75.33
92133 Imaging of optic nerve	95	88	$71.00	$21.58
66984 Removal of cataract with insertion of lens	91	55	$2200.00	$390.69
65855 Laser repair to improve eye fluid flow	83	47	$730.86	$196.96
92083 Exam of visual field with extended testing	81	73	$100.00	$26.50
92133 Imaging of optic nerve	75	66	$71.00	$21.38
65820 Incision to improve eye fluid flow	70	40	$1772.43	$406.54
92083 Exam of visual field with extended testing	66	59	$100.00	$26.37
92136 Measurement of corneal curvature and depth of eye	63	35	$90.00	$29.93
66174 Dilation of fluid outflow drainage within eye	59	36	$2355.00	$883.80
92020 Examination of cornea and iris using lens device and slit lamp	53	48	$58.00	$20.20
92020 Examination of cornea and iris using lens device and slit lamp	46	45	$63.96	$19.88
92136 Measurement of corneal curvature and depth of eye	46	24	$90.00	$29.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	43	$192.50	$74.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$194.23	$72.13
66821 Removal of recurring cataract in lens capsule using a laser	24	21	$925.00	$288.92
76514 Ultrasound scan of cornea to determine thickness	23	23	$35.00	$9.43
76514 Ultrasound scan of cornea to determine thickness	20	18	$35.00	$9.45
66982 Complex removal of cataract with insertion of prosthetic lens	20	16	$2300.00	$513.79
68761 Closure of tear duct opening using plug	19	11	$393.58	$99.59
68761 Closure of tear duct opening using plug	17	14	$464.12	$126.00
92134 Imaging of retina	16	15	$71.00	$24.88
66710 Destruction of lens tissue using laser	16	16	$1082.00	$323.23
66250 Revision or repair of operative wound of eye	16	15	$3107.25	$463.78
66180 Creation of shunt to improve eye fluid flow using tissue graft	14	12	$2790.00	$946.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	130	$123.96	$48.54
99213 Established patient office or other outpatient visit, typically 15 minutes	129	101	$123.98	$48.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	88	$191.72	$74.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	71	$195.09	$73.41
92133 Imaging of optic nerve	70	66	$71.00	$21.46
66984 Removal of cataract with insertion of lens	60	42	$2200.00	$474.76
92083 Exam of visual field with extended testing	55	49	$100.00	$26.47
92133 Imaging of optic nerve	48	45	$70.70	$21.44
65855 Laser repair to improve eye fluid flow	42	23	$715.00	$194.53
92020 Examination of cornea and iris using lens device and slit lamp	40	36	$58.00	$20.08
92083 Exam of visual field with extended testing	37	33	$99.46	$26.52
92136 Measurement of corneal curvature and depth of eye	35	22	$95.71	$29.01
92136 Measurement of corneal curvature and depth of eye	34	18	$105.41	$27.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$192.87	$70.67
92020 Examination of cornea and iris using lens device and slit lamp	30	27	$58.00	$20.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$186.03	$73.43
66821 Removal of recurring cataract in lens capsule using a laser	20	19	$951.40	$282.43
76514 Ultrasound scan of cornea to determine thickness	12	12	$35.00	$9.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$69.82	$24.43

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX BP30040315

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Timothy Truong , MD

Ophthalmology

NPI 1043716293

Doctor of Medicine (M.D.)

Dr. Coby Ray , MD, MS, MBA

Ophthalmology

NPI 1104212661

Doctor of Medicine (M.D.), Master of Science, Master of Business Administration

Dr. Leonardo Dominguez , MD

Ophthalmology

NPI 1114917424

Doctor of Medicine (M.D.)

Dr. Allan Eisenbaum , MD

Ophthalmology

NPI 1144259656

Doctor of Medicine (M.D.)

Dr. Kenn Freedman , MD

Ophthalmology

NPI 1235120353

Doctor of Medicine (M.D.)

Dr. John Bowen , OD

Optometrist

NPI 1255481008

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 May 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2015

Registered at 3601 4TH ST, MS 6211, LUBBOCK, TX 794306211 (Tel: 8067432020)

📍

Updated Business Mailing Address May 09, 2015

Registered at 223 INDIANA AVE, APT 2314, LUBBOCK, TX 794153370 (Tel: 9792553738)

👤

Provider Name / Credentials Updated May 09, 2015

Recorded as KRISHNA SHANMUGAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2015

Ophthalmology (License #BP30040315 in TX)

🟢

Initial NPI Registration & Enumeration May 28, 2010

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: 1518286558

Entity Type:

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

Enumeration Date: May 28, 2010

Last Update: May 09, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

223 Indiana Ave, Apt 2314

Lubbock, TX 794153370

Phone: 9792553738

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.