DR. ADAM T SHUPE (O.D.) – Optometrist, NPI 1154567790

DR. ADAM T SHUPE (O.D.) is a healthcare provider. based in Salem, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ATI4341 (OR). The NPI Number for DR. ADAM T SHUPE (O.D.) is 1154567790

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM T SHUPE (O.D.)
NPI
1154567790
Phone
(503) 581-5287
Address
655 MEDICAL CENTER DR NE
Enumeration Date
4 January 2009
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5035815287
Graduation Year
2009 (17 years ago)
PAC ID
0446435770
Group Practice PAC ID
5496020737
Professional Enrollment ID
I20180219002072
Address ID
OR973012751SA655XXNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. ADAM T SHUPE (O.D.)

  • 655 MEDICAL CENTER DR NE

    SALEM, OR 973012751

    Phone: (503) 581-5287

    Fax: (503) 386-1377

    Type: Mailing

  • H Street, Marysville, Yuba County, California, 905, United States

    SUITE 4

    MARYSVILLE, CA 959015834

    Phone: (530) 743-1873

    Fax: (530) 743-1460

    Type: Mailing

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 $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($42).

Total Amount

$141

General + Research + Ownership

Payments

6

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2018-02-19

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
I20180219002072IOptometryORTBD

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
68761Closure of tear duct opening using plug667112$0
92012Established patient problem focused exam of visual system295161$0
92014Established patient complete exam of visual system285267$0
83861Microfluid analysis of tears5021$0
83516Analysis of substance using immunoassay technique, multiple step method5021$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

DR. ADAM T SHUPE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYCA92083Measurement of field of vision during daylight conditions183174
OPTOMETRYCA92134Diagnostic imaging of retina200165

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: 5496020737View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

Does DR. ADAM T SHUPE (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ADAM T SHUPE (O.D.) uses 1154567790.
Is DR. ADAM T SHUPE (O.D.) listed as active for patients and plans?
The listing shows DR. ADAM T SHUPE (O.D.) as active in the NPI system.
What is DR. ADAM T SHUPE (O.D.)'s specialty?
The listing groups DR. ADAM T SHUPE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ADAM T SHUPE (O.D.) on a map?
Expect Salem, Oregon as a primary anchor for DR. ADAM T SHUPE (O.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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