J Cataract Refract Surg
CataractCataract ExtractionGlaucoma, Open-Angle
Dr. Avni A. Shah, MD
NPI1598007676PAC ID8628390416
- Medicare services, 2024
- 3,935
- Medicare patients, 2024
- 1,134
- Part D claims, 2024
- 2,536
- Publications
- 4
- MIPS score, 2024
- 92
- Practice address
- 3035 Cleveland Ave, Santa Rosa, CA 95403
- Practice phone
- Call (707) 545-3800
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Eye Care Institute, a Medical Corporation
Santa Rosa, California
Find Dr. Shah's professional email, personal email and mobile number
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Dr. Avni A. Shah is a glaucoma specialist (ophthalmology) physician in Santa Rosa, California
Dr. Shah practices at Eye Care Institute, a Medical Corporation in Santa Rosa, California.
Dr. Shah's NPI, 1598007676, was assigned on March 26, 2013. Dr. Shah graduated from Rutgers New Jersey Medical School in 2013. Dr. Shah holds California license A163015.
NPI and contact details
- NPI
- 1598007676NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8628390416
- NPI enumeration date
- March 26, 2013
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (707) 545-3800
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 39
- Medical school graduation
- 2013
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Avni A. Shah practices at Eye Care Institute, a Medical Corporation in Santa Rosa, California
Dr. Shah's primary practice is Eye Care Institute, a Medical Corporation, at 3035 Cleveland Ave, Santa Rosa, CA 95403 in Sonoma County. The practice phone is (707) 545-3800.
- Eye Care Institute, a Medical Corporation3035 Cleveland Ave, Santa Rosa, CA 95403 · Sonoma CountyPhone(707) 545-3800
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Avni A. Shah is affiliated with 2 sites of care and 1 medical group
Dr. Shah's primary practice is Eye Care Institute, a Medical Corporation in Santa Rosa, California. Dmand AI also links Dr. Shah to 1 group practice or clinic and 1 medical group, each named with a free account.
Eye Care Institute, a Medical CorporationPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Avni A. Shah's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Shah practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Eye Care Institute, a Medical Corporation | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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Dr. Avni A. Shah is one of 66 glaucoma specialist (ophthalmology) physicians in California
Glaucoma specialist is Dr. Shah's primary specialty in the NPI Registry, under taxonomy code 207WX0009X. Dr. Shah is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Shah's licenses on file in 4 states: California, Utah, Massachusetts and Colorado.
Specialties and state licenses
- Glaucoma specialist (ophthalmology), CaliforniaPrimary
- Utah license
- Ophthalmology, Massachusetts
- Colorado license
Clinical focus
Dmand AI lists age-related macular degeneration, cataract, cataract surgery with lens implant, cold sores or genital herpes, conjunctivitis, dry eye, eyelid inflammation and glaucoma among the conditions Dr. Shah treats.
Glaucoma specialist (ophthalmology) physicians near Dr. Shah
Counts of glaucoma specialist (ophthalmology) physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Avni A. Shah billed Medicare for 3,935 services in 2024
CMS data shows 3,935 Medicare services from Dr. Shah across 21 procedure codes in 2024, for 1,134 Medicare patients. Medicare paid $355,926 for them.
Medicare services, 20243,935
Medicare patients1,134
Paid by Medicare$355,926
Procedure codes21
Dr. Shah's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 2,9582024: 3,0403%
- Office and hospital visits
- 2023: 3882024: 4034%
- Surgery
- 2023: 3882024: 33913%
- Imaging
- 2023: 1302024: 11214%
- Other services
- 2023: 02024: 41
Where Dr. Shah's Medicare services took place, 2024
- In an office3,67693%
- In a facility2597%
Dr. Shah compared with the California median for glaucoma specialist (ophthalmology) physicians, 2024
- Dr. Shah
- California median
- Medicare services
- 3,935vs 1,0693.7 times
- Medicare patients
- 1,134vs 3813.0 times
- Part D claims
- 2,393vs 1,74437% above
Medians across 66 glaucoma specialist (ophthalmology) physicians in California with Dmand AI profiles that report each measure.
Dr. Shah's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Shah?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Shah and other glaucoma specialist (ophthalmology) physicians in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Avni A. Shah treated 1,134 Medicare patients in 2024, average age 76
CMS counts 1,134 Medicare patients who saw Dr. Shah in 2024. The largest group is 75 to 84, with 481 patients. 68% of them have high cholesterol, and 62% have high blood pressure. 21% are also on Medicaid. Their average risk score is 1.12, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Shah's median patient age at 75, with 57% women.
Medicare patients, 20241,134
Average age76
Average risk score1.12
Also on Medicaid21%
Dr. Shah's Medicare patients by age, 2024
Dr. Shah's Medicare patients by sex, 2024
- Women69661%
- Men43839%
Chronic conditions among Dr. Shah's Medicare patients, 2024
- High cholesterol68%
- High blood pressure62%
- Arthritis41%
- Diabetes24%
- Anxiety19%
- Ischemic heart disease19%
- Mood disorders19%
- Osteoporosis18%
Share of Medicare patients with each condition. A patient can have several.
Dr. Shah's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 75
Patient panel by sex, all payers
- Women57%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Avni A. Shah wrote 2,536 Medicare Part D claims in 2024
In 2024, Dr. Shah wrote 2,536 Medicare Part D claims for 633 patients. 54% of them were for generic drugs. CMS names the drug for 2,393 of them, across 21 drugs with 11 or more claims each, at $263,798 in total drug cost. In 2023, CMS named 2,277 claims across 24 drugs.
Part D claims, 20242,536
Drugs named by CMS21
Total drug cost$263,798
Part D patients633
Dr. Shah's Part D claims by kind of drug, 2024
- Generic1,359 claims54%
- Brand-name1,177 claims46%
Dr. Shah's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Shah's Part D claims, 2024
- Antibiotics1%27 of 2,536 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2,2772024: 2,3935%
Drugs named by CMS: 21 in 2024, 24 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Avni A. Shah scored 92 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 92 out of 100 for Dr. Shah for performance year 2024, reported as part of a group. Dr. Shah accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 389 procedures of cataract surgery by Dr. Shah, more than 93% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Shah's MIPS scores, performance year 2024
- 92of 100Final score
- 95.7of 100Quality
- 40of 100Improvement Activities
- 76of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Shah ranks in Medicare procedure volume
- Cataract surgery
- 93rd percentile389 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Avni A. Shah has 4 publications on record
Dmand AI links 4 papers to Dr. Shah in 2018. Dr. Shah's most frequent co-authors are Sahil Aggarwal, MD, Darren G. Gregory, MD and Jennifer Lee Jung, MD.
Papers4
Dr. Shah's most frequent co-authors
- Sahil Aggarwal, MD1 shared paper
- Darren G. Gregory, MD1 shared paper
- Jennifer Lee Jung, MD1 shared paper
Recent publications by Dr. Shah
Corneal DiseasesCranial Nerve DiseasesEpithelium, Corneal
Ophthalmic Surg Lasers Imaging Retina
Black PeoplePopulation SurveillanceRetinal Diseases
See who Dr. Shah researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Shah works with, so you can find a warm path to the right glaucoma specialist (ophthalmology) physicians.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Avni A. Shah received $1,915 in industry payments from 2017 to 2025
CMS Open Payments shows 37 general payments to Dr. Shah from 13 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 55% of the total. Alcon Laboratories Inc paid the most, $1,379.
General payments to Dr. Shah by program year, 2017 to 2025
General payments to Dr. Shah by kind, 2017 to 2025
$1.9Kin total
- Food and beverage$1,05355%
- Travel and lodging$86245%
Companies that paid Dr. Shah the most, 2017 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Avni A. Shah graduated from Rutgers New Jersey Medical School
Dr. Shah graduated from Rutgers New Jersey Medical School in 2013.
- Medical school
- Board certified in ophthalmology
Source: Dmand AI Professional Profile Data
Dr. Avni A. Shah accepts plans from 14 insurance carriers
Dr. Shah is in network with 14 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Alliant Health Plans
- Aspirus Health Plan
- +6 more carriersWith a free account
Plan types Dr. Shah accepts, by number of carriers
- PPO8
- Medicare7
- HMO5
- POS5
- EPO4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Avni A. Shah's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Avni A. Shah
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Avni A. Shah's NPI number?
Dr. Avni A. Shah's NPI number is 1598007676. It was assigned on March 26, 2013, and it is active in the NPI Registry.
What kind of doctor is Dr. Avni A. Shah?
Dr. Avni A. Shah is a glaucoma specialist (ophthalmology) physician in Santa Rosa, California. The primary specialty in the NPI Registry is Glaucoma Specialist (Ophthalmology) Physician (taxonomy code 207WX0009X).
Where does Dr. Avni A. Shah practice?
Dr. Shah practices at 3035 Cleveland Ave, Santa Rosa, CA 95403. Dr. Shah's primary practice is Eye Care Institute, a Medical Corporation in Santa Rosa, California. Dmand AI also links Dr. Shah to 1 group practice or clinic and 1 medical group.
What is Dr. Avni A. Shah's office phone number?
The practice phone on file for Dr. Shah is (707) 545-3800.
What is Dr. Avni A. Shah's medical license number?
Dr. Shah holds California license A163015, one of the licenses on file in 4 states.
Which states has Dr. Avni A. Shah been licensed in?
Dmand AI has state licenses on file for Dr. Shah in California (2019 to 2027), Utah (2018 to 2024), Massachusetts (2017 to 2019) and Colorado (2014 to 2017).
Does Dr. Avni A. Shah accept Medicare?
Yes. CMS data shows Dr. Shah billed Medicare for 3,935 services in 2024, and Dr. Shah accepts Medicare assignment.
What is Dr. Avni A. Shah's MIPS score?
Dr. Shah's MIPS final score for performance year 2024 is 92 out of 100, reported as part of a group.
How many Medicare patients does Dr. Avni A. Shah see?
CMS counts 1,134 Medicare patients who saw Dr. Shah in 2024, with an average age of 76.
Is Dr. Avni A. Shah board certified?
Yes. Dr. Shah is board certified in ophthalmology by the American Board of Ophthalmology.
Show 8 more questionsShow fewer questions
What services does Dr. Avni A. Shah bill to Medicare?
In 2024, Dr. Shah's most billed Medicare services were eye exam or test (92014), eye exam or test (92012) and eye exam or test (92083).
Where did Dr. Avni A. Shah go to medical school?
Dr. Shah graduated from Rutgers New Jersey Medical School in 2013.
What drugs does Dr. Avni A. Shah prescribe most?
In 2024 Medicare Part D data, Dr. Shah's most prescribed drugs by claims were Latanoprost, Timolol Maleate and Prednisolone Acetate.
Has Dr. Avni A. Shah received payments from drug or device companies?
CMS Open Payments shows $1,915 in general payments to Dr. Shah from 13 companies from 2017 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Dr. Avni A. Shah been practicing?
Dr. Shah graduated from medical school in 2013, 13 years ago.
Does Dr. Avni A. Shah do research?
Dmand AI links 4 publications to Dr. Shah.
Who does Dr. Avni A. Shah publish with?
Dr. Shah's most frequent co-authors are Sahil Aggarwal, MD (1 shared paper), Darren G. Gregory, MD (1 shared paper) and Jennifer Lee Jung, MD (1 shared paper).
What insurance does Dr. Avni A. Shah accept?
Dr. Shah is in network with 14 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
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