DR. COURTNEY SHAY (OD) – Optometrist, NPI 1477818078

DR. COURTNEY SHAY (OD) is a healthcare provider. based in Burke, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618002129 (VA). The NPI Number for DR. COURTNEY SHAY (OD) is 1477818078

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. COURTNEY SHAY (OD)
NPI
1477818078
Phone
(703) 569-3131
Address
9314 OLD KEENE MILL RD STE A
Enumeration Date
10 July 2012
Last Update Date
10 July 2012

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7035693131
Graduation Year
2012 (14 years ago)
PAC ID
3577716844
Group Practice PAC ID
0648332155
Professional Enrollment ID
I20130117000206
Address ID
VA220154284BU9314XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. COURTNEY SHAY (OD)

  • 9314 OLD KEENE MILL RD STE A

    BURKE, VA 220154284

    Phone: (703) 569-3131

    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 44 Open Payments records for all available years, with a total value of $1,707.

Total Amount is formed as General ($1,707) + Research ($0) + Ownership ($0) = $1,707.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($339).

Total Amount

$1,707

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,707

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2013-01-17

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
I20130117000206IOptometryDCTBD

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 system435244$0
92083Exam of visual field with extended testing7457$0
92133Imaging of optic nerve7055$0
92250Photography of the retina5651$0
92273Measurement of retinal and optic nerve function5147$0
View full utilization report →

Insurance plans in this area (ZIP 22015)

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Provider's Procedures

DR. COURTNEY SHAY (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92083Measurement of field of vision during daylight conditions3127

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: 0648332155View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
-VA
O P T O M E T R YDC
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What federal number belongs to DR. COURTNEY SHAY (OD)?
The federal identifier for DR. COURTNEY SHAY (OD) is NPI 1477818078.
Is DR. COURTNEY SHAY (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. COURTNEY SHAY (OD) work in?
You can think of DR. COURTNEY SHAY (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. COURTNEY SHAY (OD)'s primary listing?
We display Burke, Virginia because that is what the record indicates for DR. COURTNEY SHAY (OD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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