DR. MICHAEL KELLY SHAHEEN (O.D.) – Optometrist, NPI 1659504173

DR. MICHAEL KELLY SHAHEEN (O.D.) is a healthcare provider. based in Canton, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5894 (OH). The NPI Number for DR. MICHAEL KELLY SHAHEEN (O.D.) is 1659504173

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL KELLY SHAHEEN (O.D.)
NPI
1659504173
Phone
(330) 478-8996
Address
4555 HILLS AND DALES RD NW
Enumeration Date
1 September 2009
Last Update Date
1 September 2009

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3304788996
Graduation Year
2009 (17 years ago)
PAC ID
6608909080
Group Practice PAC ID
6709919178
Professional Enrollment ID
I20100805000616
Address ID
OH447081507CA4555XNWXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. MICHAEL KELLY SHAHEEN (O.D.)

  • 4555 HILLS AND DALES RD NW

    CANTON, OH 447081507

    Phone: (330) 478-8996

    Fax: (330) 478-9987

    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 112 Open Payments records for all available years, with a total value of $47,364.

Total Amount is formed as General ($47,364) + Research ($0) + Ownership ($0) = $47,364.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: CooperVision Inc. ($46,183).

Total Amount

$47,364

General + Research + Ownership

Payments

112

Total payment records

General Amount

$47,364

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: 2010-08-05

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
I20100805000616IOptometryOHTBD

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 system103102$0
99213Established patient office or other outpatient visit, 20-29 minutes3830$0
92250Photography of the retina2221$0
92004New patient complete exam of visual system1515$0
92083Exam of visual field with extended testing1111$0
View full utilization report →

Insurance plans in this area (ZIP 44708)

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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: 6709919178View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is DR. MICHAEL KELLY SHAHEEN (O.D.)'s NPI number?
DR. MICHAEL KELLY SHAHEEN (O.D.)'s NPI is 1659504173 — the number used across U.S. healthcare to identify this provider.
Is DR. MICHAEL KELLY SHAHEEN (O.D.) still an active registrant?
DR. MICHAEL KELLY SHAHEEN (O.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MICHAEL KELLY SHAHEEN (O.D.)?
At a glance, DR. MICHAEL KELLY SHAHEEN (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL KELLY SHAHEEN (O.D.) associated with Canton?
Public fields place DR. MICHAEL KELLY SHAHEEN (O.D.) around Canton, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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