Doctor profile · Federal record

Dr. Sanket Shah, MD

Retina Specialist (Ophthalmology) Physician (CMS: Ophthalmology) · Ophthalmology Physician · Milpitas, CA

  • NPI 1528355799
  • Accepts Medicare
  • MIPS 0.0 / 100 · 2023
  • 16 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1109 S Park Victoria Dr
Milpitas, CA 950356942
(714) 732-1417
Additional location
46923 Warm Springs Blvd Ste 207
Fremont, CA 945397977
(669) 599-0040
fax (669) 201-0557

Credentials & registration

NPPES · NUCC
NPI registered
July 2011 — 15 yrs on file
Profile last updated
October 24, 2024
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
207WX0107X — NUCC code
State license (1)
California #A139153

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1528355799. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
3,987
Distinct HCPCS
10
Medicare allowed
$517,001
HCPCS Description Services Patients Avg allowed
92134 Imaging of retina 1,333 713 $45
99213 Established patient office or other outpatient visit, 20-29 minutes 943 679 $99
67028 Injection of drug into eye 516 154 $125
J7999 Compounded drug, not otherwise classified 344 109 $93
J0178 Injection, aflibercept, 1 mg 214 28 $868
92250 Photography of the retina 181 155 $42
99214 Established patient office or other outpatient visit, 30-39 minutes 137 124 $140
99203 New patient office or other outpatient visit, 30-44 minutes 61 61 $123
92014 Established patient complete exam of visual system 51 47 $140
92235 Exam of retinal blood vessels using a special camera after injection of a dye 49 48 $160

In context: peer comparison

Among 1 peers in Milpitas Retina Specialist (Ophthalmology) Physician, average services per provider: 249. This provider delivers 16× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$423
Transactions
4
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Cardinal Health 110 LLC 1 $150.00
Apellis Pharmaceuticals, INC. 1 $128.77
Johnson & Johnson Surgical Vision, INC. 1 $116.88
Amgen INC. 1 $27.08

By nature of payment

Food and Beverage
$273
Consulting Fee
$150

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
313
Patients
178
Total drug cost
$14,088
Drug Type Claims Patients Total cost
Prednisolone Acetate Generic 100 61 $3,882
Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) Brand 47 33 $1,300
Ketorolac Tromethamine Generic 46 23 $1,473
Ofloxacin Generic 44 41 $555
Brimonidine Tartrate Generic 26 20 $519
Latanoprost Generic 24 0 $278
Brimonidine Tartrate-Timolol (Brimonidine Tartrate/Timolol) Brand 13 0 $1,960
Lumigan (Bimatoprost) Brand 13 0 $4,121

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Sanket Shah's medical specialty?
Dr. Sanket Shah practices Retina Specialist (Ophthalmology) Physician in Milpitas, CA.
Where does Dr. Sanket Shah practice?
Dr. Sanket Shah practices at 1109 S Park Victoria Dr, Milpitas, CA 950356942. Office phone: 7147321417.
What is Dr. Sanket Shah's NPI?
Dr. Sanket Shah's National Provider Identifier (NPI) is 1528355799, 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: Imaging of retina (HCPCS 92134); Established patient office or other outpatient visit (HCPCS 99213); Injection of drug into eye (HCPCS 67028). Source: CMS Medicare Physician & Other Practitioners file.