DR. NISHA ACHARYA M.D.
NPI 1972544872
Ophthalmology in San Francisco, CA

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
95 KIRKHAM STREET, SAN FRANCISCO, CA 94143(415) 476-1442 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nisha Acharya M.d. NPPES

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

DR. NISHA ACHARYA M.D. (NPI 1972544872) is an individual ophthalmology provider in San Francisco, California, licensed in California (A86705) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2000).

NPPES Registry Identity

NPI1972544872
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. NISHA ACHARYACredential: M.D.
Location Address95 KIRKHAM STREETSan Francisco, CA 94143-0001
Mailing Address1635 Divisadero Street, Suite 625, Box 1821San Francisco, CA 94143-0001
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2000
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 23, 2008
✔ NPI 1972544872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A86705
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.
95 KIRKHAM STREET, San Francisco, CA 94143

Other Identifiers 3

Medicare PIN00A867050CA
Medicaid00A867050CA
Medicare UPINI13185CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nisha Acharya 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 ID2668447483
PECOS Enrollment IDI20040826000535
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nisha Acharya reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services32 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.
26 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Ophthalmology
95 KIRKHAM STREET
SAN FRANCISCO, CA 94143
General Acute Care Hospital
95 KIRKHAM STREET, UNIVERSITY OF CALIFORNIA FI PROCTOR FOUNDATION
SAN FRANCISCO, CA 94143

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 Nisha Acharya's NPI number?

The NPI number for Nisha Acharya is 1972544872. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Nisha Acharya located?

Nisha Acharya practices at 95 Kirkham Street, San Francisco, CA 94143. The listed phone number is (415) 476-1442.

What is Nisha Acharya's specialty?

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

Is Nisha Acharya enrolled in Medicare?

Yes. Nisha Acharya 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.

Which organizations bill Medicare for Nisha Acharya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Acharya reassigns Medicare benefits to 4 organizations: Regents Of The University Of California (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and University Of California Sfgh Medical Group (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nisha Acharya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nisha Acharya was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.