Avani Shah, MD
NPI 1255328373 · Ophthalmology Physician · Allentown, PA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avani Shah, MD is a Ophthalmology Physician provider in Allentown, PA (NPI 1255328373).
Provider details
- NPI number
- 1255328373
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA07895 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,080 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 295 | $121 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 126 | $53 |
| Imaging of Optic Nerve92133 | 114 | $32 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 94 | $505 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 88 | $159 |
| Measurement of Corneal Curvature and Depth of Eye92136 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 273 | 206 |
| Latanoprost | 228 | 65 |
| Ketorolac Tromethamine | 179 | 129 |
| Cyclosporinebrand: Restasis | 161 | 62 |
| Ofloxacin | 153 | 114 |
| Cyclosporine | 134 | 44 |
| Brimonidine Tartrate | 120 | 41 |
| Timolol Maleate | 74 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$147 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2015-12-01
Frequently asked questions
- What is Avani Shah's NPI number?
- Avani Shah's National Provider Identifier (NPI) is 1255328373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Avani Shah's specialty?
- Avani Shah is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Avani Shah located?
- Avani Shah's practice location on file with NPPES is 401 N 17th St, Allentown, PA 18104-5034.
- What is Avani Shah's phone number?
- The practice phone number listed in the NPPES registry for Avani Shah is (610) 969-3070.
- Does Avani Shah accept Medicare?
- Avani Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Avani Shah's NPI active?
- Yes — Avani Shah's NPI (1255328373) is active in the NPPES registry as of the last update on 2015-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.