DR. DEBRA ANN SHIM (O.D.) – Optometrist, NPI 1407907413

DR. DEBRA ANN SHIM (O.D.) is a healthcare provider. based in Jupiter, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC 3312 (FL). The NPI Number for DR. DEBRA ANN SHIM (O.D.) is 1407907413

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBRA ANN SHIM (O.D.)
NPI
1407907413
Phone
(561) 625-4380
Address
451 UNIVERSITY BLVD
Enumeration Date
16 January 2007
Last Update Date
14 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616254380
Graduation Year
1998 (28 years ago)
PAC ID
7911045315
Group Practice PAC ID
7719026285
Professional Enrollment ID
I20091124000074
Address ID
FL334583102JU451XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

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Provider Addresses for DR. DEBRA ANN SHIM (O.D.)

  • University Boulevard, Jupiter, Palm Beach County, Florida, 33477, United States

    SUITE 102

    JUPITER, FL 334583102

    Phone: (561) 625-4380

    Fax: (561) 625-3920

    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 34 Open Payments records for all available years, with a total value of $1,897.

Total Amount is formed as General ($1,897) + Research ($0) + Ownership ($0) = $1,897.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: CooperVision Inc. ($381).

Total Amount

$1,897

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,897

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: 2009-11-24

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
I20091124000074IOptometryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13495$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
92014Established patient complete exam of visual system2828$0
92083Exam of visual field with extended testing1814$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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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: 7719026285View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

Does DR. DEBRA ANN SHIM (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DEBRA ANN SHIM (O.D.) uses 1407907413.
Does the file indicate DR. DEBRA ANN SHIM (O.D.) is practicing under active NPI?
Directory data currently reports DR. DEBRA ANN SHIM (O.D.) as active.
What taxonomy line describes DR. DEBRA ANN SHIM (O.D.)?
For research purposes, treat DR. DEBRA ANN SHIM (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DEBRA ANN SHIM (O.D.) on a map?
Expect Jupiter, Florida as a primary anchor for DR. DEBRA ANN SHIM (O.D.) unless the record lists multiple sites.
Is the information about DR. DEBRA ANN SHIM (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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