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Tina C Shinmori, OD

Optometry · San Jose

NPI 1376610592

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
4 carriers
Office
1

Offices

1 location · Fifth Optometric Care of California · 22 clinicians in this group

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. Shinmori’s office at (408) 293-3730 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

9 of 9 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Original Medicare doctor bills

$5,076

Medicare paid this office $5,076 for 60 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)28$2,260$81
Short return visit (20+ min)20$1,306$52
Short return visit11$616$56

Who their Medicare patients are

60 Original Medicare patients in 2024. Average age 77 · Women 65% · Health risk score 0.78. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 75% · Diabetes 22% · Coronary heart disease 22%.

The office billed $8,376, Medicare allowed $7,242 and paid $5,076; for 80 services of 11 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

Original Medicare by year
20246080770.78$8,376$5,076
202387131760.66$14,735$8,963
2022154241760.80$31,000$15,405
2021143248740.69$30,970$16,804
2020102175740.68$21,361$9,851
2019153341740.88$38,000$17,789
2018140310750.84$33,530$15,690
2017147307760.98$33,831$16,969
2016134305750.84$33,501$18,385
2015132298760.91$32,115$17,649
2014132359770.83$38,975$23,191
2013146412770.96$43,275$24,840

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

2023: 5 services

Original Medicare services billed in 2023
Return visit (30+ min)54$5,319$98
Short return visit (20+ min)18$671$32
Exam of visual field with extended testing11$544$49
Imaging of retina14$492$35
Photography of the retina11$355$32

2022: 7 services

Original Medicare services billed in 2022
Return visit (30+ min)55$5,532$101
New patient visit (45+ min)25$2,815$113
Short return visit (20+ min)34$2,794$76
Imaging of retina33$1,133$34
Photography of the retina35$1,021$29
Exam of visual field with extended testing22$989$43
Imaging of optic nerve17$476$28

2021: 7 services

Original Medicare services billed in 2021
Return visit (30+ min)54$5,833$101
Short return visit (20+ min)42$4,018$79
Exam of visual field with extended testing27$1,902$63
New patient visit (45+ min)15$1,547$103
Photography of the retina39$1,373$35
Imaging of retina25$947$36
Imaging of optic nerve17$427$24

2020: 5 services

Original Medicare services billed in 2020
Return visit (30+ min)37$2,863$77
Short return visit (20+ min)28$2,122$68
Photography of the retina47$1,876$38
Exam of visual field with extended testing23$1,148$50
Imaging of optic nerve13$467$33

2019: 8 services

Original Medicare services billed in 2019
Return visit (30+ min)72$5,324$74
Short return visit (20+ min)42$2,899$63
Exam of visual field with extended testing49$2,733$55
Photography of the retina57$2,296$40
Examination of eye by ophthalmoscope with retinal drawing30$1,535$26
New patient visit (45+ min)11$1,229$112
Imaging of retina20$725$36
Imaging of optic nerve13$423$33

2018: 8 services

Original Medicare services billed in 2018
Return visit (30+ min)54$4,049$75
Exam of visual field with extended testing38$2,396$60
Short return visit (20+ min)33$2,168$56
Photography of the retina45$2,134$47
New patient visit (45+ min)20$1,702$85
Examination of eye by ophthalmoscope with retinal drawing29$1,484$24
Imaging of retina20$688$33
Imaging of optic nerve17$447$26

2017: 7 services

Original Medicare services billed in 2017
Return visit (30+ min)56$4,282$76
Photography of the retina55$2,973$54
Short return visit (20+ min)45$2,901$60
New patient visit (45+ min)20$2,369$118
Exam of visual field with extended testing33$1,734$53
Examination of eye by ophthalmoscope with retinal drawing30$1,297$22
Imaging of retina16$559$35

2016: 6 services

Original Medicare services billed in 2016
Photography of the retina69$4,787$69
Return visit (30+ min)54$4,071$74
Short return visit (20+ min)37$2,902$60
New patient visit (45+ min)20$2,305$115
Exam of visual field with extended testing39$2,109$53
Examination of eye by ophthalmoscope with retinal drawing32$1,531$24

2015: 7 services

Original Medicare services billed in 2015
Photography of the retina69$5,152$73
Return visit (30+ min)39$3,191$82
Short return visit (20+ min)27$2,229$66
Exam of visual field with extended testing33$1,895$56
Examination of eye by ophthalmoscope with retinal drawing35$1,762$24
Established patient complete exam of visual system20$1,521$76
New patient visit (45+ min)12$1,398$117

2014: 7 services

Original Medicare services billed in 2014
Photography of the retina80$6,225$76
Established patient complete exam of visual system35$4,442$117
Exam of visual field with extended testing47$2,714$53
Return visit (30+ min)30$2,564$83
Short return visit (20+ min)33$2,554$62
Examination of eye by ophthalmoscope with retinal drawing43$2,330$26
New patient visit (45+ min)18$1,959$109

2013: 6 services

Original Medicare services billed in 2013
Return visit (30+ min)62$6,036$91
Photography of the retina83$5,840$68
Exam of visual field with extended testing66$3,681$53
Short return visit (20+ min)44$3,582$65
Examination of eye by ophthalmoscope with retinal drawing49$2,623$26
New patient visit (45+ min)22$2,435$111

Drugs they prescribed that Part D paid

$13,712

Pharmacies billed $13,712 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 36) in 2024. Too few prescriptions to compare fairly with other clinicians.

0 generic and 27 brand-name prescriptions · $13,712 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.

Largest Part D drug costs
Xiidra12$8,238$687
Cyclosporine12$3,636$303

Year by year

Part D prescribing by year
202436None0% (0)75%$13,712
202111None0% (0)None$7,359
202014None0% (0)None$7,118
201817None0% (0)None$2,315
201719None0% (0)None$1,977
201612None0% (0)None$95
201417NoneNoneNone$1,710

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2017: 1 drug

Part D drugs prescribed in 2017
Latanoprost13$137$11

2016: 1 drug

Part D drugs prescribed in 2016
Latanoprost11$82$7

Money from drug and device companies

$125 in 2025

Industry payments by year
202522None$125
202424None$105
202325None$96
202237None$184
202147None$213
202035None$89
201947None$236

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
CooperVisionCvi Contact Lens$89
1 payment
  • Meals for Cvi Contact Lens · 2025-03-17 · $89
Johnson & Johnson Vision CareNone$36
1 payment
  • Meals · 2025-04-23 · $36
See all 2 published payments
Every published payment
Johnson & Johnson Vision CareMeals · 2025-04-23None$36
CooperVisionMeals · 2025-03-17Cvi Contact Lens$89
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $105

Payments by company in 2024
Alcon VisionDailies Total1$79
3 payments
  • Meals for Dailies Total1 · 2024-08-06 · $33
  • Meals for Dailies Total1 · 2024-04-05 · $25
  • Meals for Dailies Total1 · 2024-01-29 · $22
Johnson & Johnson Vision CareNone$26
1 payment
  • Meals · 2024-02-14 · $26

2023: $96

Payments by company in 2023
Alcon VisionTotal30$72
4 payments
  • Meals for Total30 · 2023-10-31 · $15
  • Meals for Dailies Total1 · 2023-06-12 · $17
  • Meals for Total30 · 2023-02-20 · $20
  • Meals for Total30 · 2023-02-15 · $20
Johnson & Johnson Vision CareAcuvue$24
1 payment
  • Meals for Acuvue · 2023-06-05 · $24

2022: $184

Payments by company in 2022
Alcon VisionTotal30$96
3 payments
  • Meals for Dailies · 2022-12-19 · $20
  • Meals for Total30 · 2022-05-09 · $29
  • Meals for Total30 · 2022-03-30 · $47
Johnson & Johnson Vision CareAcuvue$60
3 payments
  • Meals for Acuvue · 2022-11-14 · $23
  • Meals for Acuvue · 2022-08-31 · $19
  • Meals for Acuvue · 2022-05-18 · $19
AllerganVuity$27
1 payment
  • Meals for Vuity · 2022-01-10 · $27

2021: $213

Payments by company in 2021
Johnson & Johnson Vision CareAcuvue$152
3 payments
  • Meals for Acuvue · 2021-09-15 · $12
  • Meals for Acuvue · 2021-06-23 · $118
  • Meals for Acuvue · 2021-06-23 · $22
Alcon VisionTotal30$29
2 payments
  • Meals for Total30 · 2021-09-29 · $17
  • Meals for Precision 1 · 2021-02-24 · $12
Plexus OptixUnity Biosync Contact Lenses With Hydramist$17
1 payment
  • Meals for Unity Biosync Contact Lenses With Hydramist · 2021-07-13 · $17
Bausch & Lomb a division of Bausch Health USInfuse$14
1 payment
  • Meals for Infuse · 2021-05-26 · $14

2020: $89

Payments by company in 2020
Johnson & Johnson Vision CareAcuvue$51
3 payments
  • Meals for Acuvue · 2020-11-02 · $17
  • Meals for Acuvue · 2020-07-08 · $17
  • Meals for Acuvue · 2020-02-19 · $17
CooperVisionParagon Crt$22
1 payment
  • Meals for Paragon Crt · 2020-09-23 · $22
Alcon VisionDailies$16
1 payment
  • Meals for Dailies · 2020-01-15 · $16

2019: $236

Payments by company in 2019
Shire North American GroupXiidra$125
1 payment
  • Meals for Xiidra · 2019-04-25 · $125
Alcon VisionDailies$61
3 payments
  • Meals for Dailies · 2019-10-16 · $19
  • Meals for Dailies · 2019-07-24 · $25
  • Meals for Dailies · 2019-03-14 · $17
Johnson & Johnson Vision CareAcuvue$42
2 payments
  • Meals for Acuvue · 2019-08-28 · $22
  • Meals for Acuvue · 2019-05-22 · $20
ABB Con-Cise Optical GroupContact Lens$9
1 payment
  • Meals for Contact Lens · 2019-04-25 · $9

Professional record

NPI
1376610592
Licence
CA OPT 8587 TPA
Trained
Southern California College of Optometry, 1986
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
17535 Pine Cone Ct, Monte Sereno, CA, 95030
NPI first listed
2006-11-30
NPI last updated
2025-12-17
NPI record certified
2025-12-17

This is when the NPI record was last certified, not a medical board exam.