DR. AJAY BIPIN SHALWALA M.D.
NPI 1770711889
Ophthalmology in Marshall, MN

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
98.12/100
CMS Quality Rating
300 S BRUCE ST, MARSHALL, MN 56258(507) 532-9661 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2021, Jul 6, 2017 (2 updates tracked since 2017).

About Dr. Ajay Bipin Shalwala M.d. NPPES

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

DR. AJAY BIPIN SHALWALA M.D. (NPI 1770711889) is an individual ophthalmology provider in Marshall, Minnesota, licensed in Minnesota (58209) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Sleepy Eye Medical Center, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1770711889
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. AJAY BIPIN SHALWALACredential: M.D.
Location Address300 S BRUCE STMarshall, MN 56258-1934
Mailing Address300 S Bruce StMarshall, MN 56258-1934 · (507) 532-9661
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 26, 2009
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1770711889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MN · 58209 Licensed in DE · C1-0012198
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.
300 S BRUCE ST, Marshall, MN 56258

Secondary Practice Location 1

Location 1833 S Governors AveDover, DE 19904-4158 · Phone (302) 674-1121 · Fax (302) 674-3891

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. Ajay Bipin Shalwala 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 ID9032359989
PECOS Enrollment IDI20140804000193
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 8

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, 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.
448 services27 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.
430 services87 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.
405 services68 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
174 services35 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.
167 services87 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.
45 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Sleepy Eye Medical Center

Critical Access Hospitals · Sleepy Eye, MN
OwnershipGovernment - Local
CMS Certification Number241327
Location400 Fourth Avenue NorthwestSleepy Eye, MN 56085 · Brown County
Emergency services

Centracare - Redwood

Critical Access Hospitals · Redwood Falls, MN
OwnershipGovernment - Local
CMS Certification Number241351
Location101 Caring WayRedwood Falls, MN 56283 · Redwood County
Emergency services Birthing friendly

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56258 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

98.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.3
Promoting Interoperability85
Improvement Activities40

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.

Internal Medicine
300 S BRUCE ST
MARSHALL, MN 56258
Physician Assistant
300 S BRUCE ST
MARSHALL, MN 56258
Physician Assistant
300 S BRUCE ST
MARSHALL, MN 56258
Home Health
300 S BRUCE ST
MARSHALL, MN 56258
Surgery
300 S BRUCE ST
MARSHALL, MN 56258
Nurse Practitioner (Psychiatric/Mental Health)
300 S BRUCE ST
MARSHALL, MN 56258
Orthopaedic Surgery
300 S BRUCE ST
MARSHALL, MN 56258
Nurse Practitioner (Pediatrics)
300 S BRUCE ST
MARSHALL, MN 56258

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 Ajay Shalwala's NPI number?

The NPI number for Ajay Shalwala is 1770711889. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Ajay Shalwala located?

Ajay Shalwala practices at 300 S Bruce St, Marshall, MN 56258. The listed phone number is (507) 532-9661.

What is Ajay Shalwala's specialty?

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

Is Ajay Shalwala enrolled in Medicare?

Yes. Ajay Shalwala 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 Ajay Shalwala accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Medica and 1 other insurer list Ajay Shalwala 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 Ajay Shalwala affiliated with any hospitals?

According to CMS data, Ajay Shalwala is affiliated with Sleepy Eye Medical Center, Centracare - Redwood and Avera Marshall Regional Medical Ctr.

When was this NPI record last updated?

The NPPES record for Ajay Shalwala was last updated on April 28, 2021. 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.