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DR. SHALIMAR SMALL M.D.
NPI 1023429685
Ophthalmology in New Orleans, LA

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
87.37/100
CMS Quality Rating
533 BOLIVAR ST, NEW ORLEANS, LA 70112(504) 268-2201 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2018, Apr 23, 2018 (2 updates tracked since 2018).

About Dr. Shalimar Small M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHALIMAR SMALL M.D. (NPI 1023429685) is an individual ophthalmology provider in New Orleans, Louisiana, licensed in Louisiana (308686) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2014).

NPPES Registry Identity

NPI1023429685
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHALIMAR SMALLCredential: M.D.
Location Address533 BOLIVAR STNew Orleans, LA 70112-1349
Mailing Address4848 North BlvdBaton Rouge, LA 70806-4019 · (225) 927-0180 · Fax (225) 926-3803
Phone(504) 268-2201
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014
Enumeration DateMay 15, 2014
Last NPPES UpdateSeptember 21, 20182 updates tracked since enumeration
✔ NPI 1023429685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 308686
Definition
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.
533 BOLIVAR ST, New Orleans, LA 70112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shalimar Small M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385920610
PECOS Enrollment IDI20181002001246
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services36 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
28 services19 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
26 services23 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.52
Promoting Interoperability100
Improvement Activities40
Cost55.04

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN ALLEN SANDERS M.D.
Emergency Medicine
533 BOLIVAR ST, RM 508
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4750
DR. STEPHANIE NICHOLAS TAYLOR M.D.
Internal Medicine (Infectious Disease)
533 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-5031
DR. LEE SPINDLER ENGEL MD
Internal Medicine (Infectious Disease)
533 BOLIVAR ST, LSU-HSC, CSRB ROOM 307
NEW ORLEANS, LA 70112
Orleans Parish (504) 599-1144
LAURA PELAEZ M.D
Otolaryngology
533 BOLIVAR ST, STE 566
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4785
DR. BRIAN ASHFORD
Obstetrics & Gynecology
533 BOLIVAR ST, RM 639
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4864
CELESTE CHRISTINA GARY MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
533 BOLIVAR ST, SUITE 566
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4785
DIEGO RAMON LOPEZ OSA M.D.
Student in an Organized Health Care Education/Training Program
533 BOLIVAR ST, SUITE 639
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4864
DR. ROBERT GLYNN PEDEN M.D.
Otolaryngology (Facial Plastic Surgery)
533 BOLIVAR ST, SUITE 566
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalimar Small's NPI number?

The NPI number for Shalimar Small is 1023429685. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Shalimar Small located?

Shalimar Small practices at 533 Bolivar St, New Orleans, LA 70112. The listed phone number is (504) 268-2201.

What is Shalimar Small's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shalimar Small enrolled in Medicare?

Yes. Shalimar Small is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shalimar Small accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Shalimar Small as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shalimar Small affiliated with any hospitals?

According to CMS data, Shalimar Small is affiliated with Baton Rouge General Medical Center and Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Shalimar Small was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.