CARLA DEANN SHOULTS (O.D.) – Optometrist, NPI 1164602371
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
106 OPTOMETRY in WY
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Provider Addresses for CARLA DEANN SHOULTS (O.D.)
Walmart Supercenter, 2300, South Douglas Highway, Gillette, Campbell County, Wyoming, 82718, United States
GILLETTE, WY 827185420
Phone: (307) 685-8108
Type: Mailing
3107, Goldenrod Avenue, Gillette, Campbell County, Wyoming, 82716, United States
GILLETTE, WY 827162287
Phone: (307) 689-5798
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-10-01
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 |
|---|---|---|---|---|
| I20081001000611 | I | Optometry | WY | 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 | 44 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 40 | $0 |
| 92250 | Photography of the retina | 35 | 34 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 14 | $0 |
| 92083 | Exam of visual field with extended testing | 12 | 12 | $0 |
Insurance plans in this area (ZIP 82718)
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