2026 NPPES data Ophthalmology Physician NPI 1518499367
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SHIMY APOORVA

Ophthalmology Physician in WATERBURY, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
229
Medicare Part D claims · 112 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$489.54
25 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHIMY APOORVA is a Ophthalmology Physician ([object Object]) practicing in WATERBURY, Connecticut with a Medicare Part D prescribing footprint of 229 claims across 112 beneficiaries — 51% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $489.54 across 25 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHIMY APOORVA reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 229 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SHIMY APOORVA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SHIMY APOORVA at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/31/2017

NPI 1518499367

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

229 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Ophthalmology Physician compares to other specialties among Connecticut providers

Connecticut providers

Ophthalmology Physician share within Connecticut

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Connecticut

Medicare quality performance — MIPS

SHIMY APOORVA's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Ophthalmology Physician) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SHIMY APOORVA is a Ophthalmology Physician provider practicing in WATERBURY, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1518499367. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SHIMY APOORVA appears in the CMS NPPES registry as a Ophthalmology Physician provider at 87 GRANDVIEW AVE, WATERBURY, CT, 06708, with a listed phone of (203) 574-2020. NPI 1518499367 was issued on 03/31/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APOORVA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 229 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $147K in drug spend, split 51% brand-name and 49% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 98.3333), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

87 GRANDVIEW AVE
WATERBURY, CT 06708

Provider Details

NPI 1518499367
Specialty Ophthalmology Physician
Gender Female
NPI Issued 03/31/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
98.3333
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHIMY APOORVA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC
WATERBURY, CT
REFOCUS EYE HEALTH OF CONNECTICUT, PC
BLOOMFIELD, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SHIMY APOORVA. Source: openpaymentsdata.cms.gov.

Total received

$490

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

SHIMY APOORVA — brand share 51.0%
Specialty average (est.)

51% brand-name claims vs 49% generic, on 229 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

229
Total Claims
$147K
Total Drug Cost
112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
344
Total Day Supply
9,269
Brand vs Generic
51% brand / 49% generic
Brand Drug Cost
$141K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.32
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Latanoprost
46
Prednisolone Acetate
40
Prolensa
Bromfenac Sodium
19
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
16
Moxifloxacin
Moxifloxacin Hcl
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How SHIMY APOORVA fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

SHIMY APOORVA's 229 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as APOORVA.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHIMY APOORVA's specialty?
SHIMY APOORVA specializes in Ophthalmology Physician and practices in WATERBURY, Connecticut.
How much does SHIMY APOORVA prescribe under Medicare Part D?
In 2023, SHIMY APOORVA wrote 229 Medicare Part D claims totaling $147K in drug costs for 112 beneficiaries.
What is SHIMY APOORVA's Medicare quality score?
SHIMY APOORVA has a CMS MIPS Final Score of 100/100 (Quality: 98.3333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHIMY APOORVA located?
SHIMY APOORVA is located at 87 GRANDVIEW AVE, WATERBURY, CT, 06708. Phone: (203) 574-2020.
What is SHIMY APOORVA's NPI number?
SHIMY APOORVA's National Provider Identifier (NPI) is 1518499367, issued on 03/31/2017.
Does SHIMY APOORVA prescribe more brand-name or generic drugs?
SHIMY APOORVA's prescribing is 51% brand-name and 49% generic drugs by claim count, with $141K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does SHIMY APOORVA prescribe most often?
Based on 2023 Medicare Part D data, SHIMY APOORVA's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Prolensa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHIMY APOORVA accept Medicare?
SHIMY APOORVA appears in CMS Medicare data with 229 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHIMY APOORVA's credentials?
SHIMY APOORVA's NPI is 1518499367. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology