APARNA SHAH M.D.
NPI 1356788426
Ophthalmology in Florence, KY

Active since May 30, 2013PECOS EnrolledAccepts Medicare Assignment
98.92/100
CMS Quality Rating
6905B BURLINGTON PIKE, FLORENCE, KY 41042(859) 282-9999(859) 282-9666 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2022, Jul 26, 2021, Apr 16, 2020 and 3 more (6 updates tracked since 2017).

About Aparna Shah M.d. NPPES

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

APARNA SHAH M.D. (NPI 1356788426) is an individual ophthalmology provider in Florence, Kentucky, licensed in Kentucky (51555) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1356788426
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameAPARNA SHAHCredential: M.D.
Location Address6905B BURLINGTON PIKEFlorence, KY 41042-1618
Mailing Address1935 Bluegrass Ave Ste 200Louisville, KY 40215-1181 · (502) 364-0033 · Fax (502) 361-4488
Fax(859) 282-9666
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013
Enumeration DateMay 30, 2013
Last NPPES UpdateMay 5, 20226 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
NPI 1356788426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in KY · 51555 Licensed in OH · 1356788426
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.
6905B BURLINGTON PIKE, Florence, KY 41042

Other Names 1

Former Name (1)Aparna S Patel

Secondary Practice Locations 3

Location 11935 Bluegrass Ave Ste 200Louisville, KY 40215 · Phone (502) 364-0033 · Fax (502) 361-4488
Location 2309 11th StCarrollton, KY 41008-1435 · Phone (800) 477-0055 · Fax (502) 361-4488
Location 34010 DuPont Cir Ste 380Louisville, KY 40207-4881 · Phone (502) 895-0040 · Fax (502) 214-3429

Other Identifiers 2

Medicaid7100541260KY
Medicaid300017162IN

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

Aparna Shah 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 ID8921239351
PECOS Enrollment IDI20180718002150
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 15

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
323 services37 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
219 services142 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
161 services102 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.
131 services109 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
117 services117 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
86 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

98.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.73
Improvement Activities40

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6905B BURLINGTON PIKE
FLORENCE, KY 41042

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 Aparna Shah's NPI number?

The NPI number for Aparna Shah is 1356788426. It was assigned to this individual provider in the NPPES registry on May 30, 2013. The provider is also known as Aparna S Patel.

Where is Aparna Shah located?

Aparna Shah practices at 6905B Burlington Pike, Florence, KY 41042. The listed phone number is (859) 282-9999.

What is Aparna Shah's specialty?

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

Is Aparna Shah enrolled in Medicare?

Yes. Aparna Shah 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 Aparna Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Aparna Shah 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.

Is Aparna Shah affiliated with any hospitals?

According to CMS data, Aparna Shah is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Aparna Shah was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.