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HARSHAD G SHAH MD,PA
NPI 1407941297
Ophthalmology in Midland, TX

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
78.19/100
CMS Quality Rating
4214 ANDREWS HWY, SUITE 105, MIDLAND, TX 79703(432) 686-2020(432) 570-0888 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harshad G Shah Md,pa NPPES

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

HARSHAD G SHAH MD,PA (NPI 1407941297) is an individual ophthalmology provider in Midland, Texas, licensed in Texas (G7461) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1407941297
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameHARSHAD G SHAHCredential: MD,PA
Location Address4214 ANDREWS HWY, SUITE 105Midland, TX 79703-4822
Mailing Address4214 Andrews Hwy, Suite 105Midland, TX 79703-4822 · (432) 686-2020 · Fax (432) 570-0888
Phone(432) 686-2020
Fax(432) 570-0888
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1407941297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · G7461
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.
4214 ANDREWS HWY, Midland, TX 79703
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Other Identifiers 3

Medicaid128107304TX
OtherP00134398TX · Railroad Medicare
OtherV3363NM · New Mexico Provider Numbe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Harshad G Shah Md,pa 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 ID3870780992
PECOS Enrollment IDI20101215000050
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 10

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 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.
231 services207 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.
212 services107 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.
70 services70 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
50 services12 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.
43 services43 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 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79703 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

78.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.1
Improvement Activities40
Cost45.96

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
1%261 patients
Diabetes: Eye Exam
99%603 patients4/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
85%26 patients
Documentation of Current Medications in the Medical Record
99%2,338 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
95%279 patients
Tobacco Use and Help with Quitting Among Adolescents
78%27 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 835 patients
Patients totalRate: 0% · 835 patients
0%835 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 17

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

DR. RAJENDRA PRASAD SARVA M.D.
Internal Medicine (Gastroenterology)
4214 ANDREWS HWY, SUITE 203
MIDLAND, TX 79703
Midland County (432) 697-1000
DR. GOVIND BHOGILAL PATEL M.D.
Internal Medicine (Gastroenterology)
4214 ANDREWS HWY, SUITE 203
MIDLAND, TX 79703
Midland County (432) 697-1000
DR. PANKAJ J PATEL M.D.
Internal Medicine (Pulmonary Disease)
4214 ANDREWS HWY, SUITE 108
MIDLAND, TX 79703
Midland County (432) 522-5000
FASTERCARE, PLLC
Clinic/Center (Emergency Care)
4214 ANDREWS HWY, SUITE 103
MIDLAND, TX 79703
Midland County (432) 694-2273
MIDLAND E CARE LLC
Clinic/Center (Emergency Care)
4214 ANDREWS HWY, SUITE 103
MIDLAND, TX 79703
Midland County (432) 694-2273
DR. MRUNAL CHAMPAKBHAI PATEL M.D.
Internal Medicine (Gastroenterology)
4214 ANDREWS HWY, SUITE 203
MIDLAND, TX 79703
Midland County (432) 697-1000
DR. JANET ALAINE CARTER PHD
Psychologist
4214 ANDREWS HWY
MIDLAND, TX 79703
Midland County (432) 686-6600
DR. JAMES B WELSH MD
Obstetrics & Gynecology
4214 ANDREWS HWY, SUITE 303
MIDLAND, TX 79703
Midland County (432) 684-8700

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 Harshad Shah's NPI number?

The NPI number for Harshad Shah is 1407941297. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Harshad Shah located?

Harshad Shah practices at 4214 Andrews Hwy Suite 105, Midland, TX 79703. The listed phone number is (432) 686-2020.

What is Harshad Shah's specialty?

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

Is Harshad Shah enrolled in Medicare?

Yes. Harshad 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 Harshad Shah accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Harshad 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.

When was this NPI record last updated?

The NPPES record for Harshad Shah was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.