DR. JONATHAN F SHAVER (O.D.) – Optometrist, NPI 1790764454

DR. JONATHAN F SHAVER (O.D.) is a healthcare provider. based in Fayetteville, Arkansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2549 (AR). The NPI Number for DR. JONATHAN F SHAVER (O.D.) is 1790764454

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN F SHAVER (O.D.)
NPI
1790764454
Phone
(479) 442-2020
Address
594 E MILLSAP
Enumeration Date
11 January 2006
Last Update Date
11 September 2012

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4794422020107
Graduation Year
2004 (22 years ago)
PAC ID
1850342593
Group Practice PAC ID
5395713382
Professional Enrollment ID
I20050812000406
Address ID
AR727034096FA594XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

422 OPTOMETRY in AR

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Provider Addresses for DR. JONATHAN F SHAVER (O.D.)

  • 594, East Millsap Road, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727032801

    Phone: (479) 442-2020

    Fax: (479) 521-3988

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $749.

Total Amount is formed as General ($749) + Research ($0) + Ownership ($0) = $749.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Glaukos Corporation ($235).

Total Amount

$749

General + Research + Ownership

Payments

18

Total payment records

General Amount

$749

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050812000406IOptometryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system524515$0
99213Established patient office or other outpatient visit, 20-29 minutes241161$0
83861Microfluid analysis of tears22885$0
92133Imaging of optic nerve174173$0
83516Analysis of substance using immunoassay technique, multiple step method11282$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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Provider's Procedures

DR. JONATHAN F SHAVER (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAR92012Eye and medical examination for diagnosis and treatment, established patient127120

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395713382View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
-AR
O P H T H A L M O L O G YOK
O P T O M E T R YAR
O P H T H A L M O L O G YAR

Reviews

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Frequently asked questions

Can I cross-check DR. JONATHAN F SHAVER (O.D.) using NPI 1790764454?
NPI 1790764454 belongs to DR. JONATHAN F SHAVER (O.D.); compare other details if you need extra assurance.
Is DR. JONATHAN F SHAVER (O.D.) still an active registrant?
DR. JONATHAN F SHAVER (O.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. JONATHAN F SHAVER (O.D.)?
DR. JONATHAN F SHAVER (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JONATHAN F SHAVER (O.D.) located near Fayetteville?
DR. JONATHAN F SHAVER (O.D.) currently maps to Fayetteville, Arkansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.