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Active NPI 1073036612 Individual Practitioner Female Practitioner

Dr. Samaneh Davoudimoghaddam , MD

Ophthalmology • Renton, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samaneh Davoudimoghaddam, MD is a certified Ophthalmology practicing in Renton, WA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Davoudimoghaddam delivers high-quality medical care to the local community at 4300 TALBOT RD S STE 300.

Dr. Davoudimoghaddam is affiliated with Retina Institute, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, 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

4300 Talbot Rd S Ste 300

Renton, WA 980556238

Telephone 4252286262
Fax 4252286260
Associated Practice Facility / Clinic
🏢 Retina Institute, Pllc Facility NPI 1528303849

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Renton, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -7.4 yrs vs City Avg
City Avg: 26.4 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Renton, WA (552 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davoudimoghaddam (19 Years) 19 Yrs
Renton Specialty Average (26.4 Years) 26.4 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
J2777 Injection, faricimab-svoa, 0.1 mg
9,720 21 $42.00 $34.59
92134 Imaging of retina
663 203 $135.00 $42.34
92250 Photography of the retina
644 365 $125.00 $39.18
67028 Injection of drug into eye
614 146 $482.96 $135.14
92014 Established patient complete exam of visual system
611 318 $423.70 $133.31
J0178 Injection, aflibercept, 1 mg
466 64 $2754.00 $807.31
J2781 Injection, pegcetacoplan, intravitreal, 1 mg
465 11 $434.00 $145.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
342 106 $187.00 $59.74
J7999 Compounded drug, not otherwise classified
265 72 $200.00 $92.50
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month
261 88 $144.00 $63.70
92004 New patient complete exam of visual system
152 152 $500.00 $158.52
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month
106 68 $186.00 $49.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
87 52 $416.00 $134.16
92235 Exam of retinal blood vessels using a special camera after injection of a dye
59 50 $476.00 $181.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
32 32 $539.00 $175.85
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
29 20 $52.00 $16.56
J9035 Injection, bevacizumab, 10 mg
24 16 $200.00 $71.96
67042 Removal of membrane of retina with removal of internal limiting membrane of retina
22 21 $3692.00 $1237.19
67036 Removal of eye fluid (vitreous) between the lens and retina
21 19 $2912.00 $931.21

Medical Specialties & State Licenses

CMS Verified: 2024-07-01
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA WA61387239

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 - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License WA WA61387239

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2246367 (WA)

Hospital & Practice Group Affiliations

Retina Institute, Pllc

4300 Talbot Rd S, Renton, WA 980556238

Phone: 4252286262

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. George Ko , MD

Ophthalmology - Retina Specialist

NPI 1205890514

Doctor of Medicine (M.D.)

NPI 1629291406

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

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2024

Ophthalmology (License #WA61387239 in WA)

📍
Updated Practice Location May 15, 2023

Registered at 4300 TALBOT RD S STE 300, RENTON, WA 980556238 (Tel: 4252286262)

📍
Updated Business Mailing Address May 15, 2023

Registered at 4300 TALBOT RD S STE 300, RENTON, WA 980556238 (Tel: 4252286262)

NPI Profile Active July 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2017

Registered at 1901 1ST AVE DEPT OF, NEW YORK, NY 100297404 (Tel: 2124236771)

📍
Updated Business Mailing Address July 25, 2017

Registered at 1955 1ST AVE APT 709, NEW YORK, NY 100296445 (Tel: 9174548279)

👤
Provider Name / Credentials Updated July 25, 2017

Recorded as SAMANEH DAVOUDIMOGHADDAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 25, 2017

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: 1073036612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2017
Last Update: July 01, 2024
Sole Proprietor: No

Mailing Address

4300 Talbot Rd S Ste 300

Renton, WA 980556238

Phone: 4252286262

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.