SABRINA M SHULTZ (OD) – Optometrist, NPI 1316086580

SABRINA M SHULTZ (OD) is a healthcare provider. based in Springfield, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009802 (IL). The NPI Number for SABRINA M SHULTZ (OD) is 1316086580

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SABRINA M SHULTZ (OD)
NPI
1316086580
Phone
(217) 698-3030
Address
2020 W Iles Ave
Enumeration Date
5 February 2007
Last Update Date
20 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
2177932273
Graduation Year
2005 (21 years ago)
PAC ID
5193826147
Group Practice PAC ID
3173519014
Professional Enrollment ID
I20070720000747
Address ID
IL627046414SP3055XAVEX300
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

1,715 OPTOMETRY in IL

Provider Addresses for SABRINA M SHULTZ (OD)

  • 2020 W Iles Ave

    Springfield, IL 627047015

    Phone: (217) 698-3030

    Fax: (217) 698-4728

    Type: Location

  • 1310 Dadrian Prof Park

    Godfrey, IL 620351685

    Phone: (618) 433-5005

    Fax: (618) 467-1053

    Type: Location

  • 2421 Corporate Ctr

    Granite City, IL 620404195

    Phone: (618) 931-6980

    Fax: (618) 931-2470

    Type: Location

  • 2020 W ILES AVE

    SPRINGFIELD, IL 627047015

    Phone: (217) 698-3030

    Fax: (217) 698-4728

    Type: Mailing

  • 18 GINGER CREEK PKWY

    GLEN CARBON, IL 620343502

    Phone: (618) 656-7774

    Fax: (618) 656-0536

    Type: Location

  • 12 Maryville Professional Center

    Maryville, IL 62062

    Phone: (618) 288-7266

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($164).

Total Amount

$312

General + Research + Ownership

Payments

13

Total payment records

General Amount

$312

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

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: 2007-07-20

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
I20070720000747IOptometryILTBD

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 system253246$0
99213Established patient office or other outpatient visit, 20-29 minutes138106$0
99212Established patient office or other outpatient visit, 10-19 minutes7774$0
92134Imaging of retina7166$0
92004New patient complete exam of visual system3939$0
View full utilization report →

Insurance plans in this area (ZIP 62704)

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Provider's Procedures

SABRINA M SHULTZ (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92083Measurement of field of vision during daylight conditions4038
OPTOMETRYIL92134Diagnostic imaging of retina3728

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: 3173519014View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
-IL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I verify SABRINA M SHULTZ (OD) with an NPI only?
You can start verification with NPI 1316086580 for SABRINA M SHULTZ (OD), then check state licensing separately.
Does the file indicate SABRINA M SHULTZ (OD) is practicing under active NPI?
Directory data currently reports SABRINA M SHULTZ (OD) as active.
What is SABRINA M SHULTZ (OD)'s primary classification?
Optometrist is the headline specialty for SABRINA M SHULTZ (OD) here. Clinical services aligned with this taxonomy classification.
Does SABRINA M SHULTZ (OD) list a practice location?
Patients near Springfield, Illinois may find SABRINA M SHULTZ (OD) in results; validate coverage separately.
Why does SABRINA M SHULTZ (OD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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