DR. SHAWN MICHAEL IVERSON (D.O.) – Cornea and External Diseases Specialist Physician, NPI 1205248077

DR. SHAWN MICHAEL IVERSON (D.O.) is a healthcare provider. based in Atlanta, Georgia. specializing in OPHTHALMOLOGY. They hold the professional credentials D.O.. They hold a License No. 37699 (SC). The NPI Number for DR. SHAWN MICHAEL IVERSON (D.O.) is 1205248077

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWN MICHAEL IVERSON (D.O.)
NPI
1205248077
Phone
(803) 296-7320
Address
PO BOX 743904
Enumeration Date
28 May 2014
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Secondary Phone
8033598777
Graduation Year
2011 (15 years ago)
PAC ID
8921355488
Group Practice PAC ID
8628973922
Professional Enrollment ID
I20200214002108
Address ID
SC290722606LE340XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

336 OPHTHALMOLOGY in SC

Provider Addresses for DR. SHAWN MICHAEL IVERSON (D.O.)

  • PO BOX 743904

    ATLANTA, GA 303743904

    Phone: (803) 296-7320

    Type: Mailing

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone: (803) 296-7320

    Type: Mailing

  • 100 PALMETTO HEALTH PKWY STE 350

    COLUMBIA, SC 292121756

    Phone: (803) 434-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,819.

Total Amount is formed as General ($1,819) + Research ($0) + Ownership ($0) = $1,819.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($443).

Total Amount

$1,819

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,819

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2020-02-14

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
I20200214002108IOphthalmologySCTBD

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 minutes407306$0
92136Measurement of corneal curvature and depth of eye353225$0
99213Established patient office or other outpatient visit, 20-29 minutes336236$0
66984Removal of cataract with insertion of prosthetic lens258167$0
92014Established patient complete exam of visual system189189$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 8628973922View full group profile
NameSpecialtyState
O P H T H A L M O L O G YSC
-SC
O P H T H A L M O L O G YSC
O P H T H A L M O L O G YOH
O P T O M E T R YSC
O P H T H A L M O L O G YSC
O P H T H A L M O L O G YSC

Reviews

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Frequently asked questions

What number should I use to identify DR. SHAWN MICHAEL IVERSON (D.O.) for billing?
Administrative and clinical systems typically use NPI 1205248077 for DR. SHAWN MICHAEL IVERSON (D.O.).
Is DR. SHAWN MICHAEL IVERSON (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. SHAWN MICHAEL IVERSON (D.O.) as active.
What does the directory say DR. SHAWN MICHAEL IVERSON (D.O.) does?
Insurance directories may phrase it differently, but here DR. SHAWN MICHAEL IVERSON (D.O.) maps to Cornea and External Diseases Specialist Physician. Clinical services aligned with this taxonomy classification.
Is DR. SHAWN MICHAEL IVERSON (D.O.) tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, DR. SHAWN MICHAEL IVERSON (D.O.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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