SUNIL M SHIVARAM M.D.
NPI 1942393566
Ophthalmology in Claremont, CA

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
73.91/100
CMS Quality Rating
655 E FOOTHILL BLVD, CLAREMONT, CA 91711(909) 624-8077(909) 624-1467 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunil M Shivaram M.d. NPPES

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

SUNIL M SHIVARAM M.D. (NPI 1942393566) is an individual ophthalmology provider in Claremont, California, licensed in California (A62267) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1995).

NPPES Registry Identity

NPI1942393566
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSUNIL M SHIVARAMCredential: M.D.
Location Address655 E FOOTHILL BLVDClaremont, CA 91711
Mailing Address655 E Foothill BlvdClaremont, CA 91711 · (909) 624-8077 · Fax (909) 624-1467
Fax(909) 624-1467
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 1995
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1942393566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A62267
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.
655 E FOOTHILL BLVD, Claremont, CA 91711

Other Identifiers 4

Medicaid1438533CA
Medicare PINA62267CA
Medicaid00A622670CA
Medicare UPINH23801CA

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

Sunil M Shivaram 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 ID5395801732
PECOS Enrollment IDI20090310000143
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 22

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.

Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
1,107 services155 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.
892 services841 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.
681 services672 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.
668 services559 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
428 services394 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.
401 services331 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91711 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

73.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.36
Improvement Activities40
Cost20.56

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
99%119 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%226 patients
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 3

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

Ophthalmology
655 E FOOTHILL BLVD
CLAREMONT, CA 91711
Ophthalmology
655 E FOOTHILL BLVD
CLAREMONT, CA 91711
Ophthalmology
655 E FOOTHILL BLVD
CLAREMONT, CA 91711

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 Sunil Shivaram's NPI number?

The NPI number for Sunil Shivaram is 1942393566. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Sunil Shivaram located?

Sunil Shivaram practices at 655 E Foothill Blvd, Claremont, CA 91711. The listed phone number is (909) 624-8077.

What is Sunil Shivaram's specialty?

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

Is Sunil Shivaram enrolled in Medicare?

Yes. Sunil Shivaram 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 Sunil Shivaram was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.