DR. DAVID SCOTT SHETTLE (O.D.) – Optometrist, NPI 1740280130

DR. DAVID SCOTT SHETTLE (O.D.) is a healthcare provider. based in Tarpon springs, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC2753 (FL). The NPI Number for DR. DAVID SCOTT SHETTLE (O.D.) is 1740280130

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID SCOTT SHETTLE (O.D.)
NPI
1740280130
Phone
(727) 422-2940
Address
1084 RIVERSIDE RIDGE RD
Enumeration Date
28 July 2005
Last Update Date
28 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275282015
Graduation Year
1994 (32 years ago)
PAC ID
5991874604
Group Practice PAC ID
8123178175
Professional Enrollment ID
I20080521000552
Address ID
FL337023110SA8501XNXXX400
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

2,055 OPTOMETRY in FL

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Provider Addresses for DR. DAVID SCOTT SHETTLE (O.D.)

  • 1084 RIVERSIDE RIDGE RD

    TARPON SPRINGS, FL 346888802

    Phone: (727) 422-2940

    Fax: (727) 528-2010

    Type: Mailing

  • Shuttle Family Eye Care, 4200, 4th Street North, Allendale Terrace, Saint Petersburg, Pinellas County, Florida, 33703, United States

    SUITE F

    ST PETERSBURG, FL 337034735

    Phone: (727) 528-2015

    Fax: (727) 528-2010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Ocular Therapeutix, Inc. ($127).

Total Amount

$256

General + Research + Ownership

Payments

6

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2008-05-21

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
I20080521000552IOptometryFLTBD

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 system277246$0
92004New patient complete exam of visual system8787$0
92133Imaging of optic nerve2525$0
View full utilization report →

Insurance plans in this area (ZIP 34688)

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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: 8123178175View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the registry number for DR. DAVID SCOTT SHETTLE (O.D.)?
The registry entry for DR. DAVID SCOTT SHETTLE (O.D.) shows NPI 1740280130.
Is DR. DAVID SCOTT SHETTLE (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. DAVID SCOTT SHETTLE (O.D.) as active.
Which specialty label fits DR. DAVID SCOTT SHETTLE (O.D.)?
NPPES ties DR. DAVID SCOTT SHETTLE (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. DAVID SCOTT SHETTLE (O.D.) tied to Tarpon Springs, Florida?
If you are local to Tarpon Springs, Florida, DR. DAVID SCOTT SHETTLE (O.D.) may be relevant to your search.
Why is information missing for DR. DAVID SCOTT SHETTLE (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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