DR. BLAKE ROBERT SHAW MD
NPI 1649206541
Ophthalmology in San Diego, CA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
1809 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2300 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 21, 2017 (2 updates tracked since 2017).

About Dr. Blake Robert Shaw Md NPPES

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

DR. BLAKE ROBERT SHAW MD (NPI 1649206541) is an individual ophthalmology provider in San Diego, California, licensed in California (G61394) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (1986).

NPPES Registry Identity

NPI1649206541
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BLAKE ROBERT SHAWCredential: MD
Location Address1809 NATIONAL AVESan Diego, CA 92113-2113
Mailing Address4793 Valdina WaySan Diego, CA 92124-2437 · (858) 576-1956
Sole ProprietorYes
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1986
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1649206541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G61394
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.
1809 NATIONAL AVE, San Diego, CA 92113

Secondary Practice Locations 2

Location 1890 Eastlake Parkway, Ste. #205Chula Vista, CA 91914 · Phone (619) 216-0400
Location 24725 Market StSan Diego, CA 92102-4715 · Phone (619) 515-2560

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. Blake Robert Shaw 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 ID5496845984
PECOS Enrollment IDI20080221000618
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 4

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.
319 services243 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.
105 services105 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.
73 services73 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.
38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92113 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%88 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.

Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Physician Assistant
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Dietitian, Registered
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Nutritionist (Nutrition, Education)
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Obstetrics & Gynecology
1809 NATIONAL AVE
SAN DIEGO, CA 92113
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1809 NATIONAL AVE
SAN DIEGO, CA 92113

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 Blake Shaw's NPI number?

The NPI number for Blake Shaw is 1649206541. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Blake Shaw located?

Blake Shaw practices at 1809 National Ave, San Diego, CA 92113. The listed phone number is (619) 515-2300.

What is Blake Shaw's specialty?

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

Is Blake Shaw enrolled in Medicare?

Yes. Blake Shaw 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 Blake Shaw was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.