Active NPI 1316086580 Individual Practitioner Female Practitioner

Dr. Sabrina M Shultz , OD

Optometrist • Glen Carbon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sabrina Shultz, OD is a certified Optometrist practicing in Glen Carbon, IL. With approximately 21 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2005, Dr. Shultz delivers high-quality medical care to the local community at 18 GINGER CREEK PKWY.

Dr. Shultz is affiliated with J A K Enterprises Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18 Ginger Creek Pkwy

Glen Carbon, IL 620343502

Telephone 6186567774

Fax 6186560536

Associated Practice Facility / Clinic

🏢 Prairie Eye Center, Ltd Facility NPI 1447222864

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Glen Carbon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs Matches City Avg

City Avg: 21.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Glen Carbon, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shultz (21 Years) 21 Yrs

Glen Carbon Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	253	246	$194.45	$122.84
99213 Established patient office or other outpatient visit, typically 15 minutes	138	106	$154.96	$90.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	74	$115.00	$55.98
92134 Imaging of retina	71	66	$100.00	$38.24
92004 New patient complete exam of visual system	39	39	$230.00	$145.59
92133 Imaging of optic nerve	39	39	$90.00	$34.84
92083 Exam of visual field with extended testing	37	35	$200.00	$58.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$220.00	$128.03
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$150.00	$72.18
92250 Photography of the retina	14	13	$125.00	$35.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$190.00	$113.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	195	$155.81	$91.32
92014 Established patient complete exam of visual system	216	214	$194.88	$125.02
92134 Imaging of retina	117	107	$100.00	$40.20
92012 Established patient problem focused exam of visual system	96	90	$159.90	$88.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	61	$115.00	$57.28
92004 New patient complete exam of visual system	46	46	$230.00	$148.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$188.81	$115.21
92133 Imaging of optic nerve	39	39	$88.97	$35.37
92083 Exam of visual field with extended testing	33	33	$200.00	$61.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$221.25	$129.78
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$150.00	$73.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	228	225	$161.40	$125.61
99213 Established patient office or other outpatient visit, typically 15 minutes	177	169	$138.14	$91.53
92012 Established patient problem focused exam of visual system	113	99	$114.62	$89.61
92134 Imaging of retina	95	77	$76.56	$40.46
92004 New patient complete exam of visual system	64	64	$184.60	$149.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	43	$93.35	$56.35
92133 Imaging of optic nerve	49	47	$68.25	$35.84
92083 Exam of visual field with extended testing	36	34	$122.18	$61.16
83861 Microfluid analysis of tears	30	13	$60.00	$22.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$195.37	$132.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$163.81	$115.29
76514 Ultrasound scan of cornea to determine thickness	12	12	$39.10	$11.28
92002 New patient problem focused exam of visual system	12	12	$123.47	$86.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	288	281	$148.31	$125.12
92012 Established patient problem focused exam of visual system	103	82	$90.63	$87.20
92134 Imaging of retina	81	69	$67.25	$40.57
92004 New patient complete exam of visual system	67	67	$168.18	$149.40
99213 Established patient office or other outpatient visit, typically 15 minutes	63	56	$84.57	$76.23
92133 Imaging of optic nerve	60	56	$67.12	$35.91
92083 Exam of visual field with extended testing	33	33	$98.12	$61.54
83861 Microfluid analysis of tears	26	13	$60.00	$22.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$132.59	$111.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$140.00	$110.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	344	341	$145.50	$123.92
92012 Established patient problem focused exam of visual system	146	116	$91.67	$85.92
92134 Imaging of retina	108	100	$66.84	$40.43
99213 Established patient office or other outpatient visit, typically 15 minutes	70	64	$83.47	$73.79
92004 New patient complete exam of visual system	68	68	$170.46	$149.12
92133 Imaging of optic nerve	44	43	$67.26	$35.21
92083 Exam of visual field with extended testing	30	28	$103.25	$59.60
83861 Microfluid analysis of tears	24	11	$60.00	$21.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$54.77	$43.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$133.98	$109.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	216	213	$142.09	$122.16
99213 Established patient office or other outpatient visit, typically 15 minutes	103	90	$86.88	$71.13
92012 Established patient problem focused exam of visual system	80	57	$90.75	$83.09
92004 New patient complete exam of visual system	48	48	$161.98	$147.18
92133 Imaging of optic nerve	44	43	$58.00	$34.94
92134 Imaging of retina	33	31	$61.02	$40.35
92083 Exam of visual field with extended testing	31	31	$86.89	$61.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$122.04	$102.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$57.63	$42.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	221	216	$135.27	$119.64
99213 Established patient office or other outpatient visit, typically 15 minutes	97	73	$84.58	$71.89
92133 Imaging of optic nerve	55	49	$45.36	$34.28
92083 Exam of visual field with extended testing	53	50	$71.49	$61.61
92004 New patient complete exam of visual system	47	47	$160.62	$143.14
92134 Imaging of retina	40	32	$45.20	$38.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$60.75	$41.67

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046009802

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046009802 (IL)

Hospital & Practice Group Affiliations

J A K Enterprises Inc

3055 Wabash Ave, Springfield, IL 627046414

Phone: 2177932273

Secondary Practice Locations

2421 Corporate Ctr

Granite City, IL 620404195

Phone: 6189316980

1310 Dadrian Prof Park

Godfrey, IL 620351685

Phone: 6184335005

2020 W Iles Ave

Springfield, IL 627047015

Phone: 2176983030

12 Maryville Professional Center

Maryville, IL 62062

Phone: 6182887266

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Molly Stacks , OD

Optometrist

NPI 1164126793

Doctor of Optometry

Dr. Valerie Barber , OD

Optometrist

NPI 1265504443

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location May 20, 2019

Registered at 18 GINGER CREEK PKWY, GLEN CARBON, IL 620343502 (Tel: 6186567774)

✅

NPI Profile Active December 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2015

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627047015 (Tel: 2176983030)

📍

Updated Business Mailing Address December 09, 2015

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627047015 (Tel: 2176983030)

👤

Provider Name / Credentials Updated December 09, 2015

Recorded as SABRINA SHULTZ, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2015

Optometrist (License #046009802 in IL)

🟢

Initial NPI Registration & Enumeration February 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316086580

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 05, 2007

Last Update: May 20, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2020 W Iles Ave

Springfield, IL 627047015

Phone: 2176983030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.