Medicare Enrolled

Dr. Seema Shah, O.D.

Optometrist · West Caldwell, NJ
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
195 FAIRFIELD AVE, West Caldwell, NJ 07006
9732284990
In practice since 2013 (12 years)
NPI: 1396178505 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. 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 →
Are you Dr. Shah? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Shah

Dr. Seema Shah is an optometrist in West Caldwell, NJ, with 12 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 384 Medicare services across 346 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shah received a total of $972 from 21 pharmaceutical and/or device companies across 55 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optometrist. 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. 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.

✓ 12 years in practice ▲ Top 44% volume in NJ $972 industry payments

Medicare Practice Summary

Medicare Utilization ↗
384
Medicare services
Top 44% in NJ for optometrist
346
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~32 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
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.
129 $72 $248
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
71 $92 $356
Extended exam of back of eye with optic nerve drawing
A detailed examination of the posterior section of the eye, including the optic nerve, with documentation through drawing.
50 $12 $84
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.
40 $30 $208
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
26 $31 $90
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
21 $33 $131
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
17 $113 $426
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.
17 $48 $150
Extended eye exam with retinal drawing
A detailed examination of the back of the eye that includes creating a drawing of the retina.
13 $17 $85
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 ↗
$972
Total received (2018-2024)
Avg $139/year across 7 years
Top 38% in NJ for optometrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
55
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
$972 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$259
2023
$107
2022
$132
2021
$133
2020
$132
2019
$88
2018
$121

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
CooperVision Inc.
$127
Bausch & Lomb Americas Inc.
$25
Johnson & Johnson Surgical Vision, Inc.
$25
Alcon Vision LLC
$23
Tarsus Pharmaceuticals, Inc.
$19
BIOTISSUE HOLDINGS INC.
$14
Ocular Therapeutix, Inc.
$14
Oyster Point Pharma, Inc.
$13
Top 3 companies account for 68.0% of 2024 payments
All-time payments by company (2018-2024) ›
CooperVision Inc.
$183
Allergan, Inc.
$99
Novartis Pharmaceuticals Corporation
$85
Shire North American Group Inc
$74
Oyster Point Pharma, Inc.
$63
Sun Pharmaceutical Industries Inc.
$62
Bausch & Lomb Americas Inc.
$49
Bausch & Lomb, a division of Bausch Health US, LLC
$43
Aerie Pharmaceuticals, Inc.
$42
Johnson & Johnson Surgical Vision, Inc.
$39
Ocular Therapeutix, Inc.
$32
Allergan Inc.
$30
Eyevance Pharmaceuticals LLC
$29
Alcon Vision LLC
$23
Tarsus Pharmaceuticals, Inc.
$19
Johnson & Johnson Vision Care, Inc.
$19
Kala Pharmaceuticals, Inc.
$18
Visioneering Technologies, Inc.
$18
AbbVie Inc.
$16
SUN PHARMACEUTICAL INDUSTRIES INC.
$14
BIOTISSUE HOLDINGS INC.
$14
Top 3 companies account for 37.8% of all-time payments
Associated products mentioned in payments ›
Acuvue · BESIVANCE · CEQUA · Cequa · DEXTENZA · DURYSTA · Flarex · INFUSE · INVELTYS · LUMIGAN · MiSight Contact Lens · MyDay Contact Lens · PROLENSA · Precision 7 · RESTASIS · RESTASIS MULTIDOSE · Rhopressa · TYRVAYA · Tecnis 1-piece IOL · Tecnis IOL · ULTRA · VUITY · XDEMVY · XIIDRA · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an optometrist in West Caldwell?
Compare optometrists in the West Caldwell area by procedure volume, costs, and industry payment transparency.
Browse optometrists nearby

Geographic Context

Optometrists within 10 mi
2,270
Per 100K population
265.8
County median income
$76,712
Nearest hospital
ESSEX COUNTY HOSPITAL CENTER
2.8 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. Shah is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement.

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

Frequently Asked Questions

Is Dr. Shah experienced with eye exam, established patient, focused?
Based on Medicare claims data, Dr. Shah performed 129 eye exam, established patient, focused 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. Shah receive payments from pharmaceutical companies?
Yes. Dr. Shah received a total of $972 from 21 companies across 55 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. Shah's costs compare to other optometrists in West Caldwell?
Dr. Shah's average Medicare payment per service is $57. 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. 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 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 →