ANDREA SHELTON (OD) – Optometrist, NPI 1932106036

ANDREA SHELTON (OD) is a healthcare provider. based in Chicago, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1579DT (KY). The NPI Number for ANDREA SHELTON (OD) is 1932106036

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA SHELTON (OD)
NPI
1932106036
Phone
(502) 955-2020
Address
5855 RELIABLE PKWY
Enumeration Date
5 July 2005
Last Update Date
14 June 2010

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2703958331
Graduation Year
2003 (23 years ago)
PAC ID
1658337563
Group Practice PAC ID
0749504165
Professional Enrollment ID
I20050330000259
Address ID
KY420298416CA43XXXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for ANDREA SHELTON (OD)

  • A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States

    CHICAGO, IL 606860001

    Phone: (502) 955-2020

    Fax: (502) 736-4490

    Type: Mailing

  • 6828, Bardstown Road, Fern Creek, Louisville, Jefferson County, Kentucky, 40291, United States

    LOUISVILLE, KY 402913050

    Phone: (502) 231-2020

    Fax: (502) 736-4490

    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 $398.

Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($269).

Total Amount

$398

General + Research + Ownership

Payments

6

Total payment records

General Amount

$398

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: 2005-03-30

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
I20050330000259IOptometryKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8883$0
99212Established patient office or other outpatient visit, 10-19 minutes2924$0
92083Exam of visual field with extended testing2922$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
92133Imaging of optic nerve2019$0
View full utilization report →

Insurance plans in this area (ZIP 60686)

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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: 0749504165View full group profile

Reviews

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Frequently asked questions

Where can patients find ANDREA SHELTON (OD)'s NPI?
You can confirm ANDREA SHELTON (OD) with NPI 1932106036; it appears in the national provider directory.
Is ANDREA SHELTON (OD) active in the national directory?
ANDREA SHELTON (OD)'s public NPI profile is in an active state.
What does ANDREA SHELTON (OD) treat or focus on?
Patients typically see ANDREA SHELTON (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREA SHELTON (OD)?
The page summarizes Chicago, Illinois for ANDREA SHELTON (OD); expand the address list for detail.
Is ANDREA SHELTON (OD) a real provider?
This page reflects official NPPES data for NPI 1932106036. Always confirm identity and privileges with the practice and licensing boards.