David Anthony Schymeinsky, OD
Optometry · Milpitas
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 9
- 4 carriers
- Office
- 1
Offices
1 location
Looking this up.
Plans that list them
9 plans · 4 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Schymeinsky’s office at (408) 262-4178 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
9 of 9 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$3,053
Medicare paid this office $3,053 for 20 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Established patient complete exam of visual system | 14 | $1,188 | $85 |
| Photography of the retina | 13 | $507 | $32 |
Who their Medicare patients are
20 Original Medicare patients in 2024. Average age 75 · Health risk score 0.74. At or below the middle of the specialty; the typical optometry clinician is at 0.97.
Conditions among them: High blood pressure 70%.
The office billed $7,086, Medicare allowed $4,598 and paid $3,053; for 50 services of 7 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 20 | 50 | 75 | 0.74 | $7,086 | $3,053 |
| 2023 | 11 | 27 | 73 | 0.74 | $3,392 | $1,311 |
| 2022 | 13 | 36 | 74 | 0.87 | $4,769 | $1,647 |
| 2021 | 19 | 52 | 72 | 0.80 | $6,272 | $2,692 |
| 2020 | 19 | 45 | 70 | 0.64 | $5,970 | $1,688 |
| 2019 | 20 | 31 | 74 | 1.56 | $3,976 | $1,683 |
| 2018 | 22 | 51 | 75 | 1.82 | $6,715 | $3,152 |
| 2017 | 34 | 87 | 75 | 1.04 | $10,711 | $4,984 |
| 2016 | 34 | 68 | 75 | 1.10 | $9,505 | $5,104 |
| 2015 | 30 | 67 | 73 | 1.28 | $8,223 | $4,273 |
| 2014 | 34 | 79 | 74 | 1.03 | $8,817 | $5,165 |
| 2013 | 44 | 126 | 71 | 1.11 | $14,874 | $8,631 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2021: 1 service
| Photography of the retina | 12 | $351 | $29 |
2020: 1 service
| Photography of the retina | 11 | $255 | $21 |
2019: 1 service
| Established patient complete exam of visual system | 12 | $747 | $62 |
2018: 2 services
| Established patient complete exam of visual system | 13 | $1,308 | $87 |
| Photography of the retina | 15 | $933 | $55 |
2017: 3 services
| Established patient complete exam of visual system | 27 | $2,169 | $80 |
| Photography of the retina | 19 | $1,203 | $60 |
| Exam of visual field with intermediate testing | 17 | $733 | $41 |
2016: 2 services
| Established patient complete exam of visual system | 23 | $2,173 | $94 |
| Photography of the retina | 24 | $1,895 | $76 |
2015: 2 services
| Photography of the retina | 22 | $1,612 | $73 |
| Established patient complete exam of visual system | 15 | $1,176 | $78 |
2014: 2 services
| Photography of the retina | 26 | $1,924 | $71 |
| Established patient complete exam of visual system | 25 | $1,820 | $73 |
2013: 3 services
| Established patient complete exam of visual system | 28 | $2,596 | $84 |
| Photography of the retina | 31 | $2,475 | $69 |
| Exam of visual field with intermediate testing | 13 | $747 | $44 |
Medicaid work
$18,632 in 2024
Medicaid paid $18,632 for 3,575 billed services this clinician did in 2024, up to 71 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS | 561 | $4,370 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 426 | $3,451 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 321 | $2,201 |
| Frames, purchases | 544 | $2,129 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 274 | $2,095 |
| Fitting of monofocal spectacles | 439 | $1,706 |
| DETERMINATION REFRACTIVE STATE | 581 | $872 |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2) | 164 | $777 |
| INTERMEDIATE VISUAL FIELD XM | 146 | $658 |
| Extended color vision examination | 104 | $287 |
| Fitting of bifocal spectacles | 15 | $86 |
| 2024 | 3,575 | 11 | 71 | $18,632 |
| 2023 | 3,373 | 9 | 71 | $16,503 |
| 2022 | 2,349 | 8 | 53 | $11,679 |
| 2021 | 2,718 | 9 | 67 | $13,498 |
| 2020 | 1,638 | 9 | 64 | $6,972 |
| 2019 | 1,692 | 8 | 52 | $8,995 |
| 2018 | 802 | 8 | 35 | $4,269 |
See the largest Medicaid services in earlier years
2023
| XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS | 622 | $4,712 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 375 | $2,730 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 341 | $2,201 |
| Frames, purchases | 523 | $1,784 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 246 | $1,598 |
| Fitting of monofocal spectacles | 397 | $1,571 |
| INTERMEDIATE VISUAL FIELD XM | 288 | $1,136 |
| DETERMINATION REFRACTIVE STATE | 569 | $771 |
| Fitting of bifocal spectacles | 12 | $0 |
2022
| XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS | 357 | $3,116 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 226 | $1,775 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 213 | $1,631 |
| Frames, purchases | 404 | $1,400 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 215 | $1,385 |
| Fitting of monofocal spectacles | 310 | $1,125 |
| DETERMINATION REFRACTIVE STATE | 479 | $671 |
| INTERMEDIATE VISUAL FIELD XM | 145 | $578 |
2021
| XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS | 242 | $3,163 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 309 | $2,201 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 240 | $1,782 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 278 | $1,740 |
| Frames, purchases | 457 | $1,649 |
| Fitting of monofocal spectacles | 378 | $1,357 |
| DETERMINATION REFRACTIVE STATE | 594 | $851 |
| INTERMEDIATE VISUAL FIELD XM | 195 | $698 |
| Fitting of bifocal spectacles | 25 | $57 |
2020
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 217 | $1,420 |
| Frames, purchases | 329 | $1,247 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 161 | $1,065 |
| Fitting of monofocal spectacles | 264 | $911 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 126 | $910 |
| DETERMINATION REFRACTIVE STATE | 407 | $548 |
| XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS | 21 | $380 |
| INTERMEDIATE VISUAL FIELD XM | 96 | $319 |
| Fitting of bifocal spectacles | 17 | $172 |
2019
| XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS | 208 | $2,812 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 219 | $1,669 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 203 | $1,555 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 199 | $994 |
| INTERMEDIATE VISUAL FIELD XM | 134 | $737 |
| DETERMINATION REFRACTIVE STATE | 438 | $591 |
| Fitting of monofocal spectacles | 152 | $349 |
| Frames, purchases | 139 | $288 |
2018
| XTRNL OCULAR PHOTOG W/I&R DOCMT MED PROGRESS | 97 | $1,330 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 124 | $710 |
| FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 73 | $683 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 80 | $497 |
| INTERMEDIATE VISUAL FIELD XM | 80 | $419 |
| DETERMINATION REFRACTIVE STATE | 294 | $361 |
| Fitting of monofocal spectacles | 29 | $155 |
| Frames, purchases | 25 | $115 |
Drugs they prescribed that Part D paid
$15,754
Pharmacies billed $15,754 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 32) in 2024. Too few prescriptions to compare fairly with other clinicians.
0 generic and 22 brand-name prescriptions · $15,754 in drug cost.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Restasis | 13 | $13,342 | $1,026 |
Year by year
| 2024 | 32 | 13 | 0% (0) | 69% | $15,754 |
| 2023 | 25 | None | 0% (0) | 84% | $16,567 |
| 2022 | 33 | 12 | 0% (0) | 73% | $22,820 |
| 2021 | 29 | 13 | 0% (0) | 62% | $14,767 |
| 2020 | 48 | 15 | 0% (0) | 35% | $16,425 |
| 2019 | 31 | 14 | 0% (0) | None | $4,161 |
| 2018 | 21 | None | 0% (0) | 57% | $4,241 |
| 2017 | 27 | 12 | 0% (0) | 63% | $7,776 |
| 2016 | 21 | None | 0% (0) | 76% | $5,200 |
| 2015 | 38 | 17 | 0% (0) | 95% | $12,949 |
| 2014 | 33 | 13 | 0% (0) | 88% | $10,087 |
| 2013 | 24 | None | 0% (0) | 96% | $5,334 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 1 drug
| Restasis | 16 | $14,858 | $929 |
2022: 1 drug
| Restasis | 15 | $19,475 | $1,298 |
2021: 1 drug
| Restasis | 12 | $13,371 | $1,114 |
2020: 2 drugs
| Restasis | 16 | $14,765 | $923 |
| Olopatadine | 22 | $1,276 | $58 |
2019: 1 drug
| Olopatadine | 17 | $533 | $31 |
2018: 1 drug
| Olopatadine | 11 | $680 | $62 |
2015: 1 drug
| Pataday | 15 | $2,492 | $166 |
2014: 1 drug
| Pataday | 17 | $2,976 | $175 |
Money from drug and device companies
$1,861 in 2025
| 2025 | 3 | 19 | None | $1,861 |
| 2024 | 1 | 3 | None | $188 |
| 2023 | 2 | 6 | None | $217 |
| 2022 | 2 | 3 | None | $71 |
| 2021 | 1 | 5 | None | $115 |
| 2020 | 2 | 4 | None | $120 |
| 2019 | 1 | 3 | None | $115 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| CooperVision | Misight Contact Lens | $1,516 | 14 payments
|
| Johnson & Johnson Vision Care | Acuvue | $272 | 4 payments
|
| Glaukos | Idosetr | $74 | 1 payment
|
See all 19 published payments
| CooperVision | Meals · 2025-11-11 | Myday Contact Lens | $125 |
| CooperVision | Meals · 2025-11-05 | Misight Contact Lens | $98 |
| Glaukos | Meals · 2025-10-22 | Idosetr | $74 |
| CooperVision | Meals · 2025-10-21 | Myday Contact Lens | $15 |
| Johnson & Johnson Vision Care | Meals · 2025-08-28 | Acuvue | $99 |
| CooperVision | Meals · 2025-08-20 | Myday Contact Lens | $76 |
| CooperVision | Meals · 2025-06-17 | Myday Contact Lens | $124 |
| CooperVision | Meals · 2025-06-05 | Paragon Crt | $29 |
| CooperVision | Meals · 2025-05-01 | Misight Contact Lens | $56 |
| CooperVision | Meals · 2025-05-01 | Misight Contact Lens | $11 |
| CooperVision | Meals · 2025-05-01 | Misight Contact Lens | $58 |
| CooperVision | Meals · 2025-04-30 | Misight Contact Lens | $95 |
| CooperVision | Travel · 2025-04-30 | Misight Contact Lens | $494 |
| CooperVision | Travel · 2025-04-30 | Misight Contact Lens | $48 |
| CooperVision | Travel · 2025-04-30 | Misight Contact Lens | $179 |
| CooperVision | Meals · 2025-04-02 | Ortho-K Contact Lens | $109 |
| Johnson & Johnson Vision Care | Meals · 2025-02-26 | None | $17 |
| Johnson & Johnson Vision Care | Meals · 2025-02-25 | None | $138 |
| Johnson & Johnson Vision Care | Meals · 2025-02-07 | None | $17 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $188
| CooperVision | Myday Contact Lens | $188 | 3 payments
|
2023: $217
| CooperVision | Cvi Contact Lens | $142 | 4 payments
|
| Johnson & Johnson Vision Care | Acuvue | $76 | 2 payments
|
2022: $71
| Johnson & Johnson Vision Care | Acuvue | $49 | 2 payments
|
| Allergan | Vuity | $21 | 1 payment
|
2021: $115
| Johnson & Johnson Vision Care | Acuvue | $115 | 5 payments
|
2020: $120
| Johnson & Johnson Vision Care | Acuvue | $77 | 3 payments
|
| Alcon Vision | Acrysof Iq Panoptix | $43 | 1 payment
|
2019: $115
| Johnson & Johnson Vision Care | Acuvue | $115 | 3 payments
|
Professional record
- NPI
- 1366432387
- Licence
- CA OPT 10094 TPL
- Trained
- University of California - School of Optometry, 1993
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Medicaid ID
- CA SD0100940
- Taxonomy
- Federal specialty code 152W00000X (152W00000X)
- Mailing address
- 462 E Calaveras Blvd, Milpitas, CA, 95035
- NPI first listed
- 2005-10-21
- NPI last updated
- 2012-07-31
This is when the NPI record was last certified, not a medical board exam.