MARGARET MARY SHIPITALO (OD, MS) – Optometrist, NPI 1760968895

MARGARET MARY SHIPITALO (OD, MS) is a healthcare provider. based in Coon rapids, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD, MS. They hold a License No. OPT.006635 (OH). The NPI Number for MARGARET MARY SHIPITALO (OD, MS) is 1760968895

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARGARET MARY SHIPITALO (OD, MS)
NPI
1760968895
Phone
(763) 421-7420
Address
3777 COON RAPIDS BLVD NW STE 100
Enumeration Date
11 July 2018
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9522045060
Graduation Year
2018 (8 years ago)
PAC ID
0941538235
Group Practice PAC ID
8921497751
Professional Enrollment ID
I20190823002912
Address ID
MN554165538MI6099XBLVD301

Contacts

Secure Messaging
margaret.shipitalo@ovoeye.com
Secure Messaging
mshipitalo@twincitieseye.intellechartdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

879 OPTOMETRY in MN

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Provider Addresses for MARGARET MARY SHIPITALO (OD, MS)

  • 100, Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55448, United States

    COON RAPIDS, MN 554332630

    Phone: (763) 421-7420

    Fax: (763) 421-0730

    Type: Mailing

  • 6099 WAYZATA BLVD STE 100-120

    ST LOUIS PARK, MN 554165538

    Phone: (952) 204-5060

    Fax: (952) 204-9060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $433.

Total Amount is formed as General ($433) + Research ($0) + Ownership ($0) = $433.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alcon Vision LLC ($190).

Total Amount

$433

General + Research + Ownership

Payments

19

Total payment records

General Amount

$433

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2019-08-23

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
I20190823002912IOptometryMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55433)

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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: 8921497751View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Does MARGARET MARY SHIPITALO (OD, MS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARGARET MARY SHIPITALO (OD, MS) uses 1760968895.
Does CMS list MARGARET MARY SHIPITALO (OD, MS) as active?
Yes — MARGARET MARY SHIPITALO (OD, MS) is active in the NPI listing used on this page.
What taxonomy line describes MARGARET MARY SHIPITALO (OD, MS)?
For research purposes, treat MARGARET MARY SHIPITALO (OD, MS) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARGARET MARY SHIPITALO (OD, MS) on a map?
Expect Coon Rapids, Minnesota as a primary anchor for MARGARET MARY SHIPITALO (OD, MS) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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