DR. ANITA AGARWAL MD
NPI 1508940628
Ophthalmology - Retina Specialist in San Francisco, CA

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
70/100
CMS Quality Rating
1445 BUSH ST, SAN FRANCISCO, CA 94109(415) 972-4600(415) 975-0999 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2020, Feb 3, 2020, Jul 25, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Anita Agarwal Md NPPES

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

DR. ANITA AGARWAL MD (NPI 1508940628) is an individual retina specialist in San Francisco, California, licensed in California (C143101) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1508940628
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameDR. ANITA AGARWALCredential: MD
Location Address1445 BUSH STSan Francisco, CA 94109-5520
Mailing Address1445 Bush StSan Francisco, CA 94109-5520 · (415) 972-4600
Fax(415) 975-0999
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 21, 20204 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
NPI 1508940628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in CA · C143101
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD29499 (TN), C143103 (CA)
1445 BUSH ST, San Francisco, CA 94109

Secondary Practice Locations 4

Location 1101 S San Mateo Dr Ste 306San Mateo, CA 94401-3844 · Phone (650) 342-7137
Location 2400 30th St Ste 402Oakland, CA 94609-3305 · Phone (510) 268-8277 · Fax (510) 350-8803
Location 3100 Tamal Plz Ste 120Corte Madera, CA 94925-1176 · Phone (415) 927-6600 · Fax (415) 891-3329
Location 41981 N Broadway Ste 265Walnut Creek, CA 94596-3827 · Phone (925) 295-1727 · Fax (925) 954-7029

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. Anita Agarwal Md 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 ID2769510742
PECOS Enrollment IDI20160829001449
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 13

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
16,740 services72 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,152 services225 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.
1,453 services928 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.
1,300 services312 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.
1,101 services824 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
1,017 services743 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

70/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109
Ophthalmology (Retina Specialist)
1445 BUSH ST
SAN FRANCISCO, CA 94109

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 Anita Agarwal's NPI number?

The NPI number for Anita Agarwal is 1508940628. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Anita Agarwal located?

Anita Agarwal practices at 1445 Bush St, San Francisco, CA 94109. The listed phone number is (415) 972-4600.

What is Anita Agarwal's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Anita Agarwal enrolled in Medicare?

Yes. Anita Agarwal 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 Anita Agarwal was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.