SHANA WIDICK ROSE (M.D.) – Ophthalmology Physician, NPI 1508020645
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
444 OPHTHALMOLOGY in MO
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Provider Addresses for SHANA WIDICK ROSE (M.D.)
1011, Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States
SUITE 200
FENTON, MO 630262395
Phone: (636) 717-1700
Fax: (636) 203-4727
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,753.
Total Amount is formed as General ($1,753) + Research ($0) + Ownership ($0) = $1,753.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Alcon Vision LLC ($667).
Total Amount
$1,753
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $667 |
| Bausch & Lomb Americas Inc. | $297 |
| Johnson & Johnson Surgical Vision, Inc. | $210 |
| ABBVIE INC. | $200 |
| Oyster Point Pharma, Inc. | $97 |
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: 2011-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110811000648 | I | Ophthalmology | MO | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 393 | 346 | $0 |
| 92250 | Photography of the retina | 263 | 248 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 144 | 95 | $0 |
| 92134 | Imaging of retina | 132 | 118 | $0 |
| 92083 | Exam of visual field with extended testing | 123 | 107 | $0 |
Insurance plans in this area (ZIP 63026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | OK |
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