Medicare Enrolled

Dr. Seema Shah, O.D.

Optometrist · West Caldwell, NJ
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
195 FAIRFIELD AVE, West Caldwell, NJ 07006
9732284990
Registered in NPPES since 2013
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 →
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What this data tells you about Dr. Shah

Dr. Seema Shah is an optometrist in West Caldwell, NJ, with 13 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 384 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Shah received a total of $972 from 21 pharmaceutical and/or device companies across 55 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 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.

✓ 13 years of NPI registration ▲ Top 44% volume in NJ $972 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
384
Medicare services
Top 44% in NJ for optometrist
Not available
Unique patients (not deduplicated)
$57
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
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. These counts do not measure clinical quality or years of experience.

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

Payments by company (2024)

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? 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 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 in nearby ZIP areas
2,270
County median income
$76,712
Nearest hospital to ZIP centroid (approximate)
ESSEX COUNTY HOSPITAL CENTER
2.8 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

Dr. Shah is a mixed practice 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 Dr. Shah experienced with eye exam, established patient, focused?
Based on Medicare claims data, Dr. Shah performed 129 eye exam, established patient, focused services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Shah receive payments from pharmaceutical companies?
Yes. Dr. Shah received a total of $972 from 21 companies across 55 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 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 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.

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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 →