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Dr. Marc Douglas Shields

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NPI Number Detailed Information

Provider Information:

Name: Dr. Marc Douglas Shields
Gender: M
Provider License Number If Given: 101236216

NPI Information:

NPI: 1265435226
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/24/2005

Last Update Date: 7/8/2020

Reputation Report:

Provider Business Mailing Address:

Address: 17 N MEDICAL PARK DR
Fishersville, VA 22939
Phone Number: 5402137720
Fax Number: 5402137728

Provider Business Practice Location Address:

Address: 1500 COMMERCE RD
Staunton, VA 24401
Phone Number: 5402137720
Fax Number: 5402139441

Provider Taxonomy:

Primary: 207W00000X
Secondary (if any):
State: VA

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About Dr. Marc Douglas Shields

Dr. Marc Douglas Shields (DR. MARC DOUGLAS SHIELDS ) is An Ophthalmology Physician in Staunton, VA. The NPI Number for Dr. Marc Douglas Shields is 1265435226.
The current location address for Dr. Marc Douglas Shields is 1500 COMMERCE RD Staunton, VA 24401 and the contact number is 5402137720 and fax number is 5402137728. The mailing address for Dr. Marc Douglas Shields is 17 N MEDICAL PARK DR Fishersville, VA 22939- 5402137720 (mailing address contact number - 5402137720).
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Marc Douglas Shields ?


Answer: The NPI Number for Dr. Marc Douglas Shields is 1265435226

Where is Dr. Marc Douglas Shields located?


Answer: Dr. Marc Douglas Shields is located at 1500 COMMERCE RD Staunton, VA 24401.

What is the specialty for Dr. Marc Douglas Shields ?


Answer: The Specialty of Dr. Marc Douglas Shields is An Ophthalmology Physician.

Are there any online reviews for Dr. Marc Douglas Shields ?


Answer: Yes! Check It Now.

Are there any other health care providers in Staunton, VA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Marc Douglas Shields

Number of HCPCS 71
Number of Medicare Beneficiaries 1967
Number of Services 5754
Total Submitted Charge Amount 579949
Total Medicare Allowed Amount 478586.74
Total Medicare Payment Amount 327199.7
Total Medicare Standardized Payment Amount 318897.45
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 80
Number of Beneficiaries Age 65 to 74 1030
Number of Beneficiaries Age 75 to 84 661
Number of Beneficiaries Age Greater 84 196
Number of Female Beneficiaries 1160
Number of Male Beneficiaries 807
Number of Non-Hispanic White Beneficiaries 1837
Number of Black or African American Beneficiaries 48
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 12
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 59
Number of Beneficiaries With Medicare & Medicaid Entitlement 113
Number of Beneficiaries With Medicare Only Entitlement 1854
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.28
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.23
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.01
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 0.944

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Ophthalmology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1545
Number of Standardized 30-Day Fills 2419.8666667
Aggregate Cost Paid for All Claims 56227.01
Number of Day's Supply for All Claims 60447
Number of Medicare Beneficiaries 530
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1464
Including Refills, for Beneficiaries Age 65+ 2321.9
Beneficiaries Age 65+ 54362.62
Number of Day's Supply for All Claims for Beneficaries Age 65+ 58443
Number of Medicare Beneficiaries Age 65+ 505
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 178
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1367
Aggregate Cost Paid for Generic Drugs 22081.67
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 330
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 11272.91
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1215
Aggregate Cost Paid for Claims Filled by 44954.1
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 243
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 10680.41
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1302
by Low-Income Subsidy 45546.6
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 54
Aggregate Cost Paid for Antibiotic Drugs 375.44
Antibiotic Claims 30
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 74.816981132
Number of Beneficiaries Age Less Than 65 25
Number of Beneficiaries Age 65 to 74 237
Number of Beneficiaries Age 75 to 84 203
Number of Female Beneficiaries 303
Number of Male Beneficiaries 227
Number of Non-Hispanic White 485
Number of Black or African American 22
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 19
Only Entitlement 475
Average Hierarchical Condition Category 1.0238941436

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