DR. SHALESH KAUSHAL MD PHD
NPI 1649225640
Ophthalmology in The Villages, FL

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1400 N US HIGHWAY 441 STE 532, THE VILLAGES, FL 32159(352) 484-1171 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shalesh Kaushal Md Phd NPPES

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

DR. SHALESH KAUSHAL MD PHD (NPI 1649225640) is an individual ophthalmology provider in The Villages, Florida, licensed in Florida (ME86573) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and is a graduate of Johns Hopkins University School Of Medicine (1988).

NPPES Registry Identity

NPI1649225640
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHALESH KAUSHALCredential: MD PHD
Location Address1400 N US HIGHWAY 441 STE 532The Villages, FL 32159-8985
Mailing Address6205 Nw 81st DrGainesville, FL 32653-2979
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1988
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1649225640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in FL · ME86573 Licensed in MA · 238661
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.
1400 N US HIGHWAY 441 STE 532, The Villages, FL 32159

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

Dr. Shalesh Kaushal Md Phd 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 ID5597821603
PECOS Enrollment IDI20120224000691
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 20

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.

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.
1,465 services489 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
1,276 services432 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.
473 services105 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.
319 services268 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
243 services12 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.
142 services24 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100023
Location502 W Highland BlvdInverness, FL 34452 · Citrus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery
91%43 patients3/55-star benchmark: 100%
Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery
88%40 patients4/55-star benchmark: 99%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
85%151 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
100%345 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%71 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
83%285 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
94%1,952 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
88%188 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,640 patients
Patients screened: 99% · 1,640 patients
91%144 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%89 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,003 patients
Patients totalRate: 0% · 2,003 patients
0%2,003 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

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

Pediatrics
1400 N US HIGHWAY 441 STE 532
THE VILLAGES, FL 32159

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 Shalesh Kaushal's NPI number?

The NPI number for Shalesh Kaushal is 1649225640. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Shalesh Kaushal located?

Shalesh Kaushal practices at 1400 N Us Highway 441 Ste 532, The Villages, FL 32159. The listed phone number is (352) 484-1171.

What is Shalesh Kaushal's specialty?

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

Is Shalesh Kaushal enrolled in Medicare?

Yes. Shalesh Kaushal 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 Shalesh Kaushal accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Shalesh Kaushal 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 Shalesh Kaushal affiliated with any hospitals?

According to CMS data, Shalesh Kaushal is affiliated with Hca Florida Citrus Hospital.

When was this NPI record last updated?

The NPPES record for Shalesh Kaushal was last updated on December 8, 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.