Medicare Enrolled

Dipal Shah

Ophthalmology · Warren, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
10 MOUNTAIN BLVD, Warren, NJ 07059
9084588333
Registered in NPPES since 2012
NPI: 1356607576 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 Shah 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 Shah

Dipal Shah is an ophthalmology specialist in Warren, NJ, with 14 years of NPI registration. Based on federal Medicare data, Shah performed 1,179 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Shah received a total of $1,708 from 20 pharmaceutical and/or device companies across 86 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Shah 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.

✓ 14 years of NPI registration ▲ 1,179 Medicare services $1,708 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,179
Medicare services
Bottom 28% in NJ for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$114
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
343 $93 $366
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.
155 $68 $257
Ultrasound scan to determine eye length and lens power
An ultrasound procedure used to measure the length of the eye and calculate the power of the lens.
119 $37 $305
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
114 $483 $1,828
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
86 $30 $450
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
83 $75 $259
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
78 $92 $431
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.
47 $53 $215
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
46 $27 $175
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
33 $267 $962
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
32 $8 $44
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.
31 $86 $362
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
12 $54 $317
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. These counts do not measure clinical quality or years of experience.
9.7% high complexity
24.0% medium
66.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,708
Total received (2018-2024)
Avg $244/year across 7 years
Top 43% in NJ for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
86
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$455
2023
$111
2022
$127
2021
$124
2020
$237
2019
$155
2018
$500

Payments by company (2024)

Alcon Vision LLC
$164
Bausch & Lomb Americas Inc.
$75
Oyster Point Pharma, Inc.
$52
Tarsus Pharmaceuticals, Inc.
$52
Dompe US, Inc.
$49
Harrow Eye, LLC
$16
Mallinckrodt Hospital Products Inc.
$16
Astellas Pharma US Inc
$16
Johnson & Johnson Surgical Vision, Inc.
$16
Top 3 companies account for 63.7% of 2024 payments
All-time payments by company (2018-2024) ›
Glaukos Corporation
$285
Alcon Vision LLC
$233
Bausch & Lomb, a division of Bausch Health US, LLC
$202
Johnson & Johnson Surgical Vision, Inc.
$181
Alcon Laboratories Inc
$128
Shire North American Group Inc
$118
Bausch & Lomb Americas Inc.
$102
Oyster Point Pharma, Inc.
$96
Dompe US, Inc.
$73
Tarsus Pharmaceuticals, Inc.
$52
Allergan, Inc.
$51
Kala Pharmaceuticals, Inc.
$49
Mallinckrodt Hospital Products Inc.
$31
CooperVision Inc.
$20
Harrow Eye, LLC
$16
Astellas Pharma US Inc
$16
Mallinckrodt LLC
$15
Ocular Therapeutix, Inc.
$14
Novartis Pharmaceuticals Corporation
$14
Thea Pharma Inc.
$13
Top 3 companies account for 42.2% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ARGOS · Clareon · CyPass · DEXTENZA · DURYSTA · EYSUVIS · ILEVRO · INVELTYS · ISTENT TRABECULAR MICRO-BYPASS STENT SYSTEM · Izervay · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · MIEBO · OXERVATE · Oxervate · PROLENSA · Paragon CRT · RESTASIS · RESTASIS MULTIDOSE · Rocklatan · TYRVAYA · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Symfony IOL · XDEMVY · XIIDRA · enVista MX60 IOL · iStent inject Trabecular Micro-Bypass Stent System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an ophthalmology specialist in Warren?
Compare ophthalmologists in the Warren area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists in nearby ZIP areas
303
County median income
$135,960
Nearest hospital to ZIP centroid (approximate)
MOUNTAINVIEW BEHAVIORAL HOSPITAL
5.6 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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

Shah is a clinical cardiology specialist, with moderate Medicare volume.

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

Frequently Asked Questions

Is Shah experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Shah performed 343 comprehensive eye exam, established patient services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Shah receive payments from pharmaceutical companies?
Yes. Shah received a total of $1,708 from 20 companies across 86 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Shah's costs compare to other ophthalmologists in Warren?
Shah's average Medicare payment per service is $114. 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 Shah) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →