DR. SHEILA WADHWA O.D.
NPI 1730366105
Optometrist in Spokane, WA
Active since January 28, 2008PECOS Enrolled
About Dr. Sheila Wadhwa O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHEILA WADHWA O.D. (NPI 1730366105) is an individual optometrist in Spokane, Washington, licensed in Washington (4144) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2007).
NPPES Registry Identity
NPI1730366105
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHEILA WADHWACredential: O.D.
Location Address427 S BERNARD STSpokane, WA 99204-2509
Mailing Address427 S Bernard StSpokane, WA 99204-2509 · (509) 456-0107 · Fax (509) 747-2635
Phone(509) 456-0107
Fax(509) 747-2635
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2007
Enumeration DateJanuary 28, 2008
Last NPPES UpdateNovember 9, 2016
✔ NPI 1730366105 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · 4144
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
427 S BERNARD ST, Spokane, WA 99204
Other Identifiers 3
Medicaid1730366105WA
Medicare PING8873249WA
Other152W00000XTaxonomy
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Sheila Wadhwa O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
PECOS PAC ID5395815781
PECOS Enrollment IDI20080528000035
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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
Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
75%379 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
99%379 patients4/55-star benchmark: 100%
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
86%528 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
84%127 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
86%127 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%4,057 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%217 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
64%1,761 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%348 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%1,449 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%238 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
62%358 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 1,008 patients
Patients tobacco: 92% · 1,008 patients
34%74 patients2/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
99%137 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%1,449 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
58%1,449 patients3/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,479 patients
0%1,479 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.
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 Sheila Wadhwa's NPI number?
The NPI number for Sheila Wadhwa is 1730366105. It was assigned to this individual provider in the NPPES registry on January 28, 2008.
Where is Sheila Wadhwa located?
Sheila Wadhwa practices at 427 S Bernard St, Spokane, WA 99204. The listed phone number is (509) 456-0107.
What is Sheila Wadhwa's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sheila Wadhwa enrolled in Medicare?
Yes. Sheila Wadhwa is registered in the Medicare PECOS enrollment system.
What insurance does Sheila Wadhwa accept?
Health plans from Providence Health Plan list Sheila Wadhwa 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 Sheila Wadhwa was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Sheila Wadhwa, O.D. · NPI 1730366105
Optometrist provider in Spokane, Washington. Individual provider, active in the CMS NPPES registry since January 28, 2008.
## Identity
- **NPI:** 1730366105 (Entity type: Individual)
- **Enumerated:** January 28, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4144 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 427 S BERNARD ST, Spokane, WA 99204-2509
- **Phone:** (509) 456-0107 · **Fax:** (509) 747-2635
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Medical school:** Pacific University - College Of Optometry, class of 2007
## Record status
- **NPPES last updated:** November 9, 2016
- **Other identifiers:** Medicaid 1730366105 (WA); Medicare PIN G8873249 (WA); Other 152W00000X
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Source: [NPI Profile](https://npiprofile.com/npi/1730366105) · Data from the CMS NPPES public registry.