PHILIP LEE SHETTLE (D.O.) – Ophthalmology Physician, NPI 1023016243

PHILIP LEE SHETTLE (D.O.) is a healthcare provider. based in Largo, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials D.O.. They hold a License No. 32591 (CO). The NPI Number for PHILIP LEE SHETTLE (D.O.) is 1023016243

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP LEE SHETTLE (D.O.)
NPI
1023016243
Phone
(727) 674-2500
Address
13113 66TH ST
Enumeration Date
12 July 2005
Last Update Date
16 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
5496760381
Professional Enrollment ID
I20060214000398
Address ID
FL337731812LA13113NXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for PHILIP LEE SHETTLE (D.O.)

  • 13113 66TH ST

    LARGO, FL 337731812

    Phone: (727) 674-2500

    Fax: (727) 674-2550

    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 27 Open Payments records for all available years, with a total value of $1,328.

Total Amount is formed as General ($1,328) + Research ($0) + Ownership ($0) = $1,328.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($635).

Total Amount

$1,328

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2006-02-14

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
I20060214000398IOphthalmologyFLTBD

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 system909626$0
92083Exam of visual field with extended testing179169$0
92133Imaging of optic nerve162161$0
92012Established patient problem focused exam of visual system13193$0
99204New patient office or other outpatient visit, 45-59 minutes9595$0
View full utilization report →

Insurance plans in this area (ZIP 33773)

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Provider's Procedures

PHILIP LEE SHETTLE (D.O.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient272157

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Frequently asked questions

What unique ID ties claims to PHILIP LEE SHETTLE (D.O.)?
NPI 1023016243 is assigned to PHILIP LEE SHETTLE (D.O.) under the national enumeration system.
Is PHILIP LEE SHETTLE (D.O.) active in the national directory?
PHILIP LEE SHETTLE (D.O.)'s public NPI profile is in an active state.
Does PHILIP LEE SHETTLE (D.O.) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for PHILIP LEE SHETTLE (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place PHILIP LEE SHETTLE (D.O.)?
The snapshot lists Largo, Florida for PHILIP LEE SHETTLE (D.O.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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