JESSICA GOWRAMMA SHANTHA M.D.
NPI 1033403258
Ophthalmology in San Francisco, CA

Q: What is Jessica Shantha's NPI number?

The NPI number for Jessica Shantha is 1033403258. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Q: What is Jessica Shantha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Shantha was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

490 ILLINOIS ST, SAN FRANCISCO, CA 94143(415) 476-1442 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, Sep 25, 2018, Apr 26, 2018 and 1 more (4 updates tracked since 2017).

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About Jessica Gowramma Shantha M.d. NPPES

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

JESSICA GOWRAMMA SHANTHA M.D. (NPI 1033403258) is an individual ophthalmology provider in San Francisco, California, licensed in California (A142871) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2011).

NPPES Registry Identity

NPI1033403258

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameJESSICA GOWRAMMA SHANTHACredential: M.D.

Location Address490 ILLINOIS STSan Francisco, CA 94143-2510

Mailing Address490 Illinois StSan Francisco, CA 94143-2510 · (415) 476-1442

Phone(415) 476-1442

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2011

Enumeration DateJune 6, 2011

Last NPPES UpdateOctober 6, 20234 updates tracked since enumeration

NPPES CertifiedOctober 6, 2023

✔ NPI 1033403258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in CA · A142871✔ Licensed in GA · 78661

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.

490 ILLINOIS ST, San Francisco, CA 94143

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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

Jessica Gowramma Shantha 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 ID42505240

PECOS Enrollment IDI20160826002191, I20171009002450

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 2

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.

76 services50 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

44 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 14

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

O'RESE JOSHUA KNIGHT M.D.

Ophthalmology