DR. KRISHNA PRAHALAD SHANMUGAM M.D.
NPI 1518286558
Ophthalmology in Lubbock, TX

Q: What is Krishna Shanmugam's NPI number?

The NPI number for Krishna Shanmugam is 1518286558. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Q: What is Krishna Shanmugam'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 Krishna Shanmugam was last updated on May 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 28, 2010PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3601 4TH ST, MS 6211, LUBBOCK, TX 79430(806) 743-2020 Get Directions Write a Review

NPPES record last updated: May 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Krishna Prahalad Shanmugam M.d. NPPES

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

DR. KRISHNA PRAHALAD SHANMUGAM M.D. (NPI 1518286558) is an individual ophthalmology provider in Lubbock, Texas, licensed in Texas (BP30040315) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- College Stati, and is a graduate of Baylor College Of Medicine (2010).

NPPES Registry Identity

NPI1518286558

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. KRISHNA PRAHALAD SHANMUGAMCredential: M.D.

Location Address3601 4TH ST, MS 6211Lubbock, TX 79430-6211

Mailing Address223 Indiana Ave, Apt 2314Lubbock, TX 79415-3370 · (979) 255-3738

Phone(806) 743-2020

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2010

Enumeration DateMay 28, 2010

Last NPPES UpdateMay 9, 2015

✔ NPI 1518286558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · BP30040315

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.

3601 4TH ST, Lubbock, TX 79430

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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 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

Dr. Krishna Prahalad Shanmugam 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 ID8820306152

PECOS Enrollment IDI20200723003639

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 14

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.

386 services240 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).

271 services241 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.

168 services135 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.

129 services129 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.

127 services57 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

111 services111 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.

74 services64 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

72 services48 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.

60 services29 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

46 services37 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

22 services11 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

21 services21 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.

20 services19 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.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670088

Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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.

75/100

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

Scored as part of a group practice

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.

JAMES STEVEN DEMBOWSKI PHD

Speech-Language Pathologist

3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430

Lubbock County (806) 743-5678

CHARLES KIM D.O.

Anesthesiology

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-3004

BAILEY WADDINGTON MD

Student in an Organized Health Care Education/Training Program

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-6840

SARA SYED AHMED MD

Psychiatry & Neurology (Psychiatry)

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-2800

DR. SAFAA S. LABIB M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430

Lubbock County (806) 743-2155

MATTHEW PAUL FERGUSON M.D.

Orthopaedic Surgery (Sports Medicine)

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-2475

KORY NOEL HOWELL DO

Student in an Organized Health Care Education/Training Program

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-3381

JANICE STACHOWIAK M.D.

Internal Medicine

3601 4TH ST
LUBBOCK, TX 79430

Lubbock County (806) 743-3150

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 Krishna Shanmugam's NPI number?

The NPI number for Krishna Shanmugam is 1518286558. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Krishna Shanmugam located?

Krishna Shanmugam practices at 3601 4th St Ms 6211, Lubbock, TX 79430. The listed phone number is (806) 743-2020.

What is Krishna Shanmugam's specialty?

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

Is Krishna Shanmugam enrolled in Medicare?

Yes. Krishna Shanmugam 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 Krishna Shanmugam accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Krishna Shanmugam 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 Krishna Shanmugam affiliated with any hospitals?

According to CMS data, Krishna Shanmugam is affiliated with Baylor Scott & White Medical Center- College Stati.

When was this NPI record last updated?

The NPPES record for Krishna Shanmugam was last updated on May 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.