DR. PHILIP SHAFFER (O.D.) – Optometrist, NPI 1205188844
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. PHILIP SHAFFER (O.D.)
1230 BALD RIDGE MARINA RD STE 100
CUMMING, GA 300417950
Phone: (770) 292-1999
Type: Location
1160 W MICHIGAN ST
INDIANAPOLIS, IN 462025209
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $563.
Total Amount is formed as General ($563) + Research ($0) + Ownership ($0) = $563.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($186).
Total Amount
$563
General + Research + Ownership
Payments
26
Total payment records
General Amount
$563
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130204000120 | I | Optometry | IN | TBD |
| I20230606003713 | I | Optometry | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 115 | 100 | $0 |
| 92134 | Imaging of retina | 49 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 38 | $0 |
| 92250 | Photography of the retina | 31 | 31 | $0 |
| 92014 | Established patient complete exam of visual system | 31 | 31 | $0 |
Insurance plans in this area (ZIP 30041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| - | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | IN |
Reviews
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