SHELLY GUPTA JAIN (M.D.) – Glaucoma Specialist (Ophthalmology) Physician, NPI 1194928184
Glaucoma Specialist (Ophthalmology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
Provider Addresses for SHELLY GUPTA JAIN (M.D.)
915 Olentangy River Rd
Columbus, OH 432123153
Phone: (614) 293-8116
Fax: (614) 293-3555
Type: Location
700, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States
SUITE 570
COLUMBUS, OH 432021559
Phone: (614) 293-8116
Fax: (614) 293-3555
Type: Mailing
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-8116
Fax: (614) 293-3555
Type: Mailing
915, Olentangy River Road, Harrison West, Columbus, Franklin, Ohio, 43212, United States
COLUMBUS, OH 432123153
Phone: (614) 293-8116
Fax: (614) 293-4719
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $4,063.
Total Amount is formed as General ($4,063) + Research ($0) + Ownership ($0) = $4,063.
Last reported payment date: 2024-11-17 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($2,614).
Total Amount
$4,063
General + Research + Ownership
Payments
26
Total payment records
General Amount
$4,063
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Surgical Vision, Inc. | $2,614 |
| ABBVIE INC. | $753 |
| NEW WORLD MEDICAL,INC. | $465 |
| Johnson & Johnson Vision Care, Inc. | $113 |
| Alcon Vision LLC | $82 |
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: 2011-10-13
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 |
|---|---|---|---|---|
| I20111013000385 | I | Ophthalmology | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 567 | 338 | $0 |
| 92133 | Imaging of optic nerve | 177 | 176 | $0 |
| 92083 | Exam of visual field with extended testing | 144 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 87 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 104 | 57 | $0 |
Insurance plans in this area (ZIP 43212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | NC | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH |
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