RAGHUNAND SASTRY MD
NPI 1083688642
Ophthalmology in San Jose, CA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
77.46/100
CMS Quality Rating
175 N JACKSON AVE, #205, SAN JOSE, CA 95116(408) 272-2100(408) 259-4946 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raghunand Sastry Md NPPES

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

RAGHUNAND SASTRY MD (NPI 1083688642) is an individual ophthalmology provider in San Jose, California, licensed in California (A71904) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1083688642
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRAGHUNAND SASTRYCredential: MD
Location Address175 N JACKSON AVE, #205San Jose, CA 95116
Mailing Address175 N Jackson Ave, #205San Jose, CA 95116 · (408) 272-2100 · Fax (408) 259-4946
Fax(408) 259-4946
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 19, 2007
NPI 1083688642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A71904
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.
175 N JACKSON AVE, San Jose, CA 95116

Other Identifiers 4

Medicare UPING92554
Medicare ID-Type Unspecified00A719040
OtherZZZ02549ZBlue Shield Of Calif
Medicaid00A719040CA

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

Raghunand Sastry Md 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 ID3072500149
PECOS Enrollment IDI20040429000792
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 16

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
815 services511 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.
387 services306 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
246 services243 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.
166 services134 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
117 services111 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.
115 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

77.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.62
Improvement Activities40
Cost22.05

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
50%2,431 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
100%647 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
45%477 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%4,521 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
93%551 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,939 patients
Patients totalRate: 0% · 1,939 patients
0%1,939 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
175 N JACKSON AVE, SUITE # 110
SAN JOSE, CA 95116
Specialist
175 N JACKSON AVE, # 104
SAN JOSE, CA 95116
Urology
175 N JACKSON AVE, STE 206
SAN JOSE, CA 95116
Internal Medicine (Geriatric Medicine)
175 N JACKSON AVE, STE 210
SAN JOSE, CA 95116
Internal Medicine (Clinical Cardiac Electrophysiology)
175 N JACKSON AVE, SUITE # 111
SAN JOSE, CA 95116
Nurse Practitioner (Family)
175 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
175 N JACKSON AVE, SUITE 105
SAN JOSE, CA 95116
Specialist
175 N JACKSON AVE, SUITE 209
SAN JOSE, CA 95116

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 Raghunand Sastry's NPI number?

The NPI number for Raghunand Sastry is 1083688642. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Raghunand Sastry located?

Raghunand Sastry practices at 175 N Jackson Ave #205, San Jose, CA 95116. The listed phone number is (408) 272-2100.

What is Raghunand Sastry's specialty?

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

Is Raghunand Sastry enrolled in Medicare?

Yes. Raghunand Sastry 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.

When was this NPI record last updated?

The NPPES record for Raghunand Sastry was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.