Doctor profile · Federal record
Dr. Sanket Shah, MD
Ophthalmology Physician (CMS: Ophthalmology) · Ophthalmology Physician · Fresno, CA
- NPI 1396137865
- Accepts Medicare
- MIPS 88.0 / 100 · 2023
- 8 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1360 E Herndon Ave Ste 201
Fresno, CA 937203326
(559) 449-5050
fax (559) 432-2632
Credentials & registration
- NPI registered
- February 2015 — 11 yrs on file
- Profile last updated
- August 23, 2023
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State licenses (2)
- California #A185699 · Kentucky #54051
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396137865. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
721
Distinct HCPCS
10
Medicare allowed
$82,964
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 220 | 189 | $85 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $161 | |
92012 |
Established patient problem focused exam of visual system | 62 | 59 | $82 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 60 | 58 | $122 | |
92134 |
Imaging of retina | 55 | 49 | $39 | |
92136 |
Measurement of corneal curvature and depth of eye | 54 | 44 | $42 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 49 | 49 | $107 | |
92004 |
New patient complete exam of visual system | 41 | 41 | $149 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 34 | 22 | $492 | |
92133 |
Imaging of optic nerve | 20 | 20 | $35 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 412. This provider delivers 1.8× the peer median.Open Payments
Industry payments received
All-time total
$4,308
Transactions
56
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas Inc. | 15 | $1,614.38 | |
| RxSight Inc | 4 | $682.29 | |
| Glaukos Corporation | 8 | $546.62 | |
| Amgen Inc. | 12 | $424.47 | |
| Alcon Vision LLC | 5 | $308.50 | |
| Sight Sciences, Inc. | 5 | $275.34 | |
| ABBVIE INC. | 2 | $218.69 | |
| Dompe US, Inc. | 2 | $148.16 | |
| Astellas Pharma US Inc | 2 | $67.23 | |
| Heidelberg Engineering, Inc. | 1 | $21.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
122
Patients
55
Total drug cost
$6,812
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 40 | 17 | $501 |
| Prednisolone Acetate | Generic | 31 | 26 | $1,544 |
| Ofloxacin | Generic | 14 | 0 | $319 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 13 | 0 | $240 |
| Ketorolac Tromethamine | Generic | 13 | 12 | $460 |
| Rocklatan (Netarsudil Mesylat/Latanoprost) | Brand | 11 | 0 | $3,748 |
Frequently asked questions
What is Dr. Sanket Shah's medical specialty?
Dr. Sanket Shah practices Ophthalmology Physician in Fresno, CA.
Where does Dr. Sanket Shah practice?
Dr. Sanket Shah practices at 1360 E Herndon Ave Ste 201, Fresno, CA 937203326. Office phone: 5594495050.
What is Dr. Sanket Shah's NPI?
Dr. Sanket Shah's National Provider Identifier (NPI) is 1396137865, issued by NPPES.
Does Dr. Sanket Shah accept Medicare assignment?
Yes. Dr. Sanket Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sanket Shah commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204); Established patient problem focused exam of visual system (HCPCS 92012). Source: CMS Medicare Physician & Other Practitioners file.