DR. ASHOK SEHGAL M.D.
NPI 1083713374
Ophthalmology in Albany, NY

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
73.55/100
CMS Quality Rating
63 SHAKER RD, SUITE 101, ALBANY, NY 12204(518) 434-1042(518) 434-4327 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ashok Sehgal M.d. NPPES

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

DR. ASHOK SEHGAL M.D. (NPI 1083713374) is an individual ophthalmology provider in Albany, New York, licensed in New York (246076) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2000).

NPPES Registry Identity

NPI1083713374
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ASHOK SEHGALCredential: M.D.
Location Address63 SHAKER RD, SUITE 101Albany, NY 12204-1030
Mailing Address63 Shaker Rd, Suite 101Albany, NY 12204-1030 · (518) 434-1042 · Fax (518) 434-4327
Fax(518) 434-4327
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2000
Enumeration DateSeptember 22, 2006
Last NPPES UpdateApril 27, 2009
NPI 1083713374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NY · 246076 Licensed in OH · 35-088411
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.

63 SHAKER RD, Albany, NY 12204

Other Identifiers 2

Medicaid03082139NY
Medicare NSC0818600001NY

Accepted 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. Ashok Sehgal 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 ID3476552944
PECOS Enrollment IDI20090311000694
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 7

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 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.
171 services170 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.
87 services86 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.
40 services39 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
38 services37 patients
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.
21 services20 patients
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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12204 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

73.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.3
Improvement Activities40
Cost27.43

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.

Ophthalmology
63 SHAKER RD, SUITE 101
ALBANY, NY 12204
Neurological Surgery
63 SHAKER RD, SUITE 201
ALBANY, NY 12204
Internal Medicine
63 SHAKER RD, SUITE G01
ALBANY, NY 12204
Psychiatry & Neurology (Neurology)
63 SHAKER RD
ALBANY, NY 12204
Ophthalmology
63 SHAKER RD, SUITE 101
ALBANY, NY 12204
Specialist
63 SHAKER RD, STE 201
ALBANY, NY 12204
Ophthalmology
63 SHAKER RD, SUITE 101
ALBANY, NY 12204
Psychiatry & Neurology (Psychiatry)
63 SHAKER RD, SUITE G05
ALBANY, NY 12204

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 Ashok Sehgal's NPI number?

The NPI number for Ashok Sehgal is 1083713374. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Ashok Sehgal located?

Ashok Sehgal practices at 63 Shaker Rd Suite 101, Albany, NY 12204. The listed phone number is (518) 434-1042.

What is Ashok Sehgal's specialty?

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

Is Ashok Sehgal enrolled in Medicare?

Yes. Ashok Sehgal 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 Ashok Sehgal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 11 other insurers list Ashok Sehgal 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.

When was this NPI record last updated?

The NPPES record for Ashok Sehgal was last updated on April 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.