Medicare Enrolled

Dr. Gayle Shimokaji, MD

Ophthalmology · Greenbrae, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1000 S ELISCO, Greenbrae, CA 94904
4159252020
In practice since 2006 (19 years)
NPI: 1912099672 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Shimokaji from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Shimokaji

Dr. Gayle Shimokaji is an ophthalmology specialist in Greenbrae, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shimokaji performed 1,030 Medicare services across 708 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shimokaji received a total of $5,338 from 20 pharmaceutical and/or device companies across 50 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Shimokaji is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 1,030 Medicare services $5,338 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,030
Medicare services
Bottom 35% in CA for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
708
Unique beneficiaries
$185
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~54 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
207 $79 $150
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
158 $37 $125
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
135 $106 $200
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
135 $153 $275
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
131 $58 $150
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
86 $10 $30
Amniotic membrane placement on eye surface
This procedure involves placing amniotic membrane on the surface of the eye to promote wound healing.
81 $1,435 $2,500
New patient office visit, complex (60-74 min) 37 $169 $300
Eye photography
Photographic imaging of the interior structures of the eye.
21 $22 $50
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
20 $54 $125
Extended eye exam with retinal drawing
A detailed examination of the back of the eye that includes creating a drawing of the retina.
19 $21 $75
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,338
Total received (2018-2024)
Avg $763/year across 7 years
Top 23% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
50
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,823 (52.9%)
Other
Charitable contributions, space rental, and other categories
$2,515 (47.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,866
2023
$364
2022
$300
2021
$150
2020
$152
2019
$1,491
2018
$15

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ConvaTec Inc.
$2,515
Amgen Inc.
$181
Mallinckrodt Hospital Products Inc.
$75
REVANCE THERAPEUTICS, INC.
$51
Bausch & Lomb Americas Inc.
$25
Tarsus Pharmaceuticals, Inc.
$20
Top 3 companies account for 96.7% of 2024 payments
All-time payments by company (2018-2024) ›
ConvaTec Inc.
$2,515
TissueTech, Inc.
$1,345
Horizon Therapeutics plc
$331
Amgen Inc.
$181
Galderma Laboratories, L.P.
$174
Dexcom, Inc.
$151
ALK-Abello, Inc
$135
Mallinckrodt Hospital Products Inc.
$75
Bausch & Lomb Americas Inc.
$72
Aerie Pharmaceuticals, Inc.
$70
Novartis Pharmaceuticals Corporation
$59
REVANCE THERAPEUTICS, INC.
$51
Carl Zeiss Meditec AG
$39
BioTissue Holdings, Inc.
$29
Allergan Inc.
$22
ABBVIE INC.
$20
Tarsus Pharmaceuticals, Inc.
$20
Biohaven Pharmaceuticals, Inc.
$18
Carl Zeiss Meditec, Inc.
$17
Omeros Corporation
$15
Top 3 companies account for 78.5% of all-time payments
Associated products mentioned in payments ›
ACTHAR · DAXXIFY · DEXCOM G7 GSS (161) · INNOVAMATRIX AC · LUMIGAN · NURTEC ODT · None Specified · Odactra · Omidria · Otiprio · PROKERA · Prokera · TEPEZZA · VUITY · XDEMVY · XIIDRA · enVista MX60 IOL · rhopressa · rocklatan
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (53%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in Greenbrae?
Compare ophthalmologists in the Greenbrae area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
240
Per 100K population
92.7
County median income
$142,785
Nearest hospital
MARINHEALTH MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Shimokaji is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Shimokaji experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Shimokaji performed 207 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Shimokaji receive payments from pharmaceutical companies?
Yes. Dr. Shimokaji received a total of $5,338 from 20 companies across 50 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Shimokaji's costs compare to other ophthalmologists in Greenbrae?
Dr. Shimokaji's average Medicare payment per service is $185. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Shimokaji) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →