KAREEN SHEBACLO (MD) – Anesthesiology Physician, NPI 1063935542

KAREEN SHEBACLO (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD478276 (PA). The NPI Number for KAREEN SHEBACLO (MD) is 1063935542

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KAREEN SHEBACLO (MD)
NPI
1063935542
Phone
(904) 953-2000
Address
4500 San Pablo Rd S
Enumeration Date
17 July 2017
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9049532000
Graduation Year
2017 (9 years ago)
PAC ID
3375922321
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20250925004268
Address ID
FL322241865JA4500XSXXX500

Contacts

Secure Messaging
kshebaclo2560148@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness95
Years active:8State licenses:2Other names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for KAREEN SHEBACLO (MD)

  • 4500 San Pablo Rd S

    Jacksonville, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • Louis A. Weiss Memorial Hospital, 4646, North Marine Drive, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60640, United States

    CHICAGO, IL 60640

    Phone: (773) 564-7400

    Type: Mailing

  • Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States

    BOSTON, MA 021111552

    Phone: (617) 636-9303

    Type: Location

  • 840 WALNUT ST STE 910

    PHILADELPHIA, PA 191075109

    Phone: (215) 928-3250

    Fax: (215) 928-3276

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $941.

Total Amount is formed as General ($941) + Research ($0) + Ownership ($0) = $941.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Horizon Therapeutics plc ($345).

Total Amount

$941

General + Research + Ownership

Payments

20

Total payment records

General Amount

$941

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2025-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220622000017IOphthalmologyPATBD
I20250624000348IOphthalmologyNJTBD
I20250925004268IOphthalmologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2320$0
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Orthopedic SurgeryFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is KAREEN SHEBACLO (MD) listed with a National Provider Identifier?
Yes — KAREEN SHEBACLO (MD) has NPI 1063935542 on file in the registry.
Active or inactive — what applies to KAREEN SHEBACLO (MD)?
You should see KAREEN SHEBACLO (MD) as active in CMS-hosted NPPES data.
What kind of doctor is KAREEN SHEBACLO (MD)?
KAREEN SHEBACLO (MD) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KAREEN SHEBACLO (MD) located near Jacksonville?
KAREEN SHEBACLO (MD) currently maps to Jacksonville, Florida in this extract.
Can I trust this NPI listing for KAREEN SHEBACLO (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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