DR. RAJESH KUMAR SHETTY (M.D.) – Ophthalmology Physician, NPI 1538159454

DR. RAJESH KUMAR SHETTY (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. ME84552 (FL). The NPI Number for DR. RAJESH KUMAR SHETTY (M.D.) is 1538159454

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJESH KUMAR SHETTY (M.D.)
NPI
1538159454
Phone
(904) 396-1725
Address
11945 SAN JOSE BLVD.
Enumeration Date
22 October 2005
Last Update Date
19 April 2018

Doctor Profile

Medical School Name
INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Secondary Phone
9046422222
Graduation Year
1996 (30 years ago)
PAC ID
1658422399
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20090619000345
Address ID
FL322565835JA11512AVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

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Provider Addresses for DR. RAJESH KUMAR SHETTY (M.D.)

  • San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States

    STE 300

    JACKSONVILLE, FL 322231627

    Phone: (904) 396-1725

    Fax: (904) 399-1717

    Type: Mailing

  • 11512, Lake Mead Avenue, Jacksonville, Duval County, Florida, 32256, United States

    STE 534

    JACKSONVILLE, FL 322565835

    Phone: (904) 642-2222

    Fax: (904) 518-3297

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 183 Open Payments records for all available years, with a total value of $13,974.

Total Amount is formed as General ($13,974) + Research ($0) + Ownership ($0) = $13,974.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($9,610).

Total Amount

$13,974

General + Research + Ownership

Payments

183

Total payment records

General Amount

$13,974

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2009-06-19

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
I20090619000345IOphthalmologyFLTBD

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
92133Imaging of optic nerve1,136923$0
92014Established patient complete exam of visual system1,103874$0
92083Exam of visual field with extended testing752678$0
92136Measurement of corneal curvature and depth of eye440313$0
92012Established patient problem focused exam of visual system324285$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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Provider's Procedures

DR. RAJESH KUMAR SHETTY (M.D.) 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 patient827583

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: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
Otolaryngology, Sleep MedicineFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL

Reviews

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Frequently asked questions

How do payers reference DR. RAJESH KUMAR SHETTY (M.D.)?
For DR. RAJESH KUMAR SHETTY (M.D.), use NPI 1538159454 as the unique 10-digit identifier.
Would DR. RAJESH KUMAR SHETTY (M.D.) appear as active to a payer?
You can treat DR. RAJESH KUMAR SHETTY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. RAJESH KUMAR SHETTY (M.D.)?
DR. RAJESH KUMAR SHETTY (M.D.) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is DR. RAJESH KUMAR SHETTY (M.D.) registered?
Use Jacksonville, Florida as the headline location for DR. RAJESH KUMAR SHETTY (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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