DR. ANIL M SHIVARAM M.D.
NPI 1346426293
Ophthalmology in Claremont, CA

Active since January 10, 2008PECOS EnrolledAccepts Medicare Assignment
73.91/100
CMS Quality Rating
655 E FOOTHILL BLVD, CLAREMONT, CA 91711(909) 624-8077 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anil M Shivaram M.d. NPPES

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

DR. ANIL M SHIVARAM M.D. (NPI 1346426293) is an individual ophthalmology provider in Claremont, California, licensed in California (A102249) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2003).

NPPES Registry Identity

NPI1346426293
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ANIL M SHIVARAMCredential: M.D.
Location Address655 E FOOTHILL BLVDClaremont, CA 91711-3511
Mailing Address655 E Foothill BlvdClaremont, CA 91711-3511 · (909) 624-8077
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2003
Enumeration DateJanuary 10, 2008
Last NPPES UpdateAugust 15, 2012
NPI 1346426293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A102249
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.
655 E FOOTHILL BLVD, Claremont, CA 91711

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. Anil M Shivaram 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 ID6901984467
PECOS Enrollment IDI20080423000682
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 23

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.
1,007 services649 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
889 services784 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
851 services99 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.
766 services498 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.
665 services641 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.
455 services368 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91711 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

73.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.36
Improvement Activities40
Cost20.56

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
100%166 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%169 patients
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 3

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

Ophthalmology
655 E FOOTHILL BLVD
CLAREMONT, CA 91711
Ophthalmology
655 E FOOTHILL BLVD
CLAREMONT, CA 91711
Ophthalmology
655 E FOOTHILL BLVD
CLAREMONT, CA 91711

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 Anil Shivaram's NPI number?

The NPI number for Anil Shivaram is 1346426293. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Anil Shivaram located?

Anil Shivaram practices at 655 E Foothill Blvd, Claremont, CA 91711. The listed phone number is (909) 624-8077.

What is Anil Shivaram's specialty?

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

Is Anil Shivaram enrolled in Medicare?

Yes. Anil Shivaram 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 Anil Shivaram was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.