MADHU R AGARWAL M.D.
NPI 1780609933
Ophthalmology in Redlands, CA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1200 CALIFORNIA ST, STE 140, REDLANDS, CA 92374(909) 792-6000 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madhu R Agarwal M.d. NPPES

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

MADHU R AGARWAL M.D. (NPI 1780609933) is an individual ophthalmology provider in Redlands, California, licensed in California (A73978) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1999).

NPPES Registry Identity

NPI1780609933
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMADHU R AGARWALCredential: M.D.
Location Address1200 CALIFORNIA ST, STE 140Redlands, CA 92374-2945
Mailing Address1200 California St, Ste 140Redlands, CA 92374-2945 · (909) 792-6000
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1999
Enumeration DateJuly 12, 2006
Last NPPES UpdateDecember 30, 2024
NPI 1780609933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A73978
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.
1200 CALIFORNIA ST, Redlands, CA 92374

Other Identifiers 1

Medicaid00A739780CA

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

Madhu R Agarwal 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 ID8123093705
PECOS Enrollment IDI20040827000386
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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
9,726 services24 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).
1,466 services737 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,464 services736 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
1,460 services727 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.
1,145 services586 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
1,092 services577 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92374 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%24 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
5%21 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,802 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%1,149 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 1,355 patients
100%1,355 patients
Provide Patients Electronic Access to Their Health Information
95%1,529 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,202 patients
Patients totalRate: 0% · 1,202 patients
0%1,202 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.

Ophthalmology
1200 CALIFORNIA ST, SUITE 140
REDLANDS, CA 92374

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 Madhu Agarwal's NPI number?

The NPI number for Madhu Agarwal is 1780609933. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Madhu Agarwal located?

Madhu Agarwal practices at 1200 California St Ste 140, Redlands, CA 92374. The listed phone number is (909) 792-6000.

What is Madhu Agarwal's specialty?

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

Is Madhu Agarwal enrolled in Medicare?

Yes. Madhu Agarwal 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 Madhu Agarwal was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.