JAMES B. DOSHI M.D.
NPI 1356325948
Ophthalmology in East Lansing, MI

Q: What is James Doshi's NPI number?

The NPI number for James Doshi is 1356325948. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is James Doshi'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 James Doshi was last updated on August 16, 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 December 06, 2005PECOS EnrolledAccepts Medicare Assignment

97.98/100

CMS Quality Rating

2001 COOLIDGE RD, EAST LANSING, MI 48823(517) 337-1668(517) 337-1779 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Sep 20, 2022, Mar 24, 2021 and 1 more (4 updates tracked since 2020).

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About James B. Doshi M.d. NPPES

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

JAMES B. DOSHI M.D. (NPI 1356325948) is an individual ophthalmology provider in East Lansing, Michigan, licensed in Michigan (4301067580) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Michigan Medical School (1996).

NPPES Registry Identity

NPI1356325948

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJAMES B. DOSHICredential: M.D.

Location Address2001 COOLIDGE RDEast Lansing, MI 48823-1378

Mailing Address2001 Coolidge RdEast Lansing, MI 48823-1378 · (517) 337-0316 · Fax (517) 337-1779

Phone(517) 337-1668

Fax(517) 337-1779

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1996

Enumeration DateDecember 6, 2005

Last NPPES UpdateAugust 16, 20234 updates tracked since enumeration

NPPES CertifiedAugust 16, 2023

✔ NPI 1356325948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301067580

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.

2001 COOLIDGE RD, East Lansing, MI 48823

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Secondary Practice Locations 5

Location 15100 Marsh Rd Ste HOkemos, MI 48864-1195 · Phone (517) 349-0150 · Fax (517) 349-0157

Location 21535 E Broomfield StMT Pleasant, MI 48858-4489 · Phone (989) 772-3339 · Fax (989) 772-4846

Location 32790 W Grand River Ave Ste 200Howell, MI 48843-8424 · Phone (517) 548-3571 · Fax (517) 545-2543

Location 41005 Charlevoix Dr Ste 200Grand Ledge, MI 48837-8186 · Phone (517) 627-3030 · Fax (517) 627-8088

Location 53600 Capital Ave SW Ste 203Battle Creek, MI 49015-9393 · Phone (269) 979-6383 · Fax (269) 979-6381

Other Identifiers 5

Other200000001899MI · Phpmm

Other4301067580MI · State License

Other180041539MI · Railroad Medicare

Medicaid4220998MI

Medicaid4269961MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

James B. Doshi 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 ID4183685571

PECOS Enrollment IDI20100610001132

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 8

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.

519 services519 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.

323 services273 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.

180 services172 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).

93 services93 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.

66 services66 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.

59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

97.98/100

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

Scored as part of a group practice

Quality

99.6

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

99%1,333 patients4/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

96%332 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

98%5,621 patients4/55-star benchmark: 100%

e-Prescribing

97%229 patients4/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

80%98 patients

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%65 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%128 patients

Provide Patients Electronic Access to Their Health Information

80%1,558 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 2,787 patients

Patients totalRate: 0% · 2,787 patients

0%2,787 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.

THOMAS K MOORE M.D.

Ophthalmology