DR. LES ALAN SHIPLEY (OD) – Optometrist, NPI 1225011653

DR. LES ALAN SHIPLEY (OD) is a healthcare provider. based in Santa rosa, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5775T (CA). The NPI Number for DR. LES ALAN SHIPLEY (OD) is 1225011653

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. LES ALAN SHIPLEY (OD)
NPI
1225011653
Phone
(707) 525-9920
Address
1430 GUERNEVILLE RD
Enumeration Date
21 November 2005
Last Update Date
18 May 2015

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7075259920
Graduation Year
1974 (52 years ago)
PAC ID
6800973215
Professional Enrollment ID
I20080409000772
Address ID
CA954034158SA1430XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. LES ALAN SHIPLEY (OD)

  • 1430, Guerneville Road, Monroe, Santa Rosa, Sonoma County, California, 95403, United States

    STE 3

    SANTA ROSA, CA 95403

    Phone: (707) 525-9920

    Fax: (707) 525-0844

    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 5 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Alcon Vision LLC ($46).

Total Amount

$115

General + Research + Ownership

Payments

5

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (620 days ago).

Enrollment records

2

Earliest due date

2024-09-30

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
I20080409000772IOptometryCATBD
O20100930079713OPhysician - OptometristCA2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
92250Photography of the retina207195$0
92014Established patient complete exam of visual system155151$0
92012Established patient problem focused exam of visual system8650$0
92134Imaging of retina6057$0
92004New patient complete exam of visual system3232$0
View full utilization report →

Insurance plans in this area (ZIP 95403)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Does DR. LES ALAN SHIPLEY (OD) have a public NPI I can cite?
Public records show DR. LES ALAN SHIPLEY (OD) under NPI 1225011653.
Is DR. LES ALAN SHIPLEY (OD)'s NPI status active today?
Active status means DR. LES ALAN SHIPLEY (OD)'s NPI record is not deactivated in the public file.
What type of care does DR. LES ALAN SHIPLEY (OD) provide?
DR. LES ALAN SHIPLEY (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. LES ALAN SHIPLEY (OD)?
DR. LES ALAN SHIPLEY (OD) shows a connection to Santa Rosa, California in registry-derived data.
Why is information missing for DR. LES ALAN SHIPLEY (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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