DR. MARC DOUGLAS SHIELDS (MD) – Ophthalmology Physician, NPI 1265435226
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
565 OPHTHALMOLOGY in VA
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Provider Addresses for DR. MARC DOUGLAS SHIELDS (MD)
17, North Medical Park Drive, Fishersville, Augusta County, Virginia, 22939, United States
FISHERSVILLE, VA 229392344
Phone: (540) 213-7720
Fax: (540) 213-7728
Type: Mailing
Commerce Road, City of Staunton, Virginia, 24401, United States of America
STAUNTON, VA 244019032
Phone: (540) 213-7720
Fax: (540) 213-9441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $377.
Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($131).
Total Amount
$377
General + Research + Ownership
Payments
18
Total payment records
General Amount
$377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $131 |
| Astellas Pharma US Inc | $102 |
| Horizon Therapeutics plc | $63 |
| Mallinckrodt Hospital Products Inc. | $25 |
| Apellis Pharmaceuticals, Inc. | $22 |
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: 2004-07-21
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 |
|---|---|---|---|---|
| I20040721001436 | I | Ophthalmology | VA | 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 | 1,427 | 1,347 | $0 |
| 92012 | Established patient problem focused exam of visual system | 416 | 339 | $0 |
| 92083 | Exam of visual field with extended testing | 289 | 269 | $0 |
| 92285 | Photography of content of eyes | 282 | 263 | $0 |
| 92133 | Imaging of optic nerve | 241 | 230 | $0 |
Insurance plans in this area (ZIP 22939)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| O P T O M E T R Y | VA | |
| O P H T H A L M O L O G Y | VA | |
| O P H T H A L M O L O G Y | VA | |
| O P H T H A L M O L O G Y | VA | |
| O P T O M E T R Y | VA | |
| 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 | VA | |
| - | VA | |
| O P H T H A L M O L O G Y | VA |
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