Active NPI 1861758369 Individual Practitioner Female Practitioner

Dr. Shilpa Gillella Reddy , MD

Ophthalmology • Wheaton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shilpa Reddy, MD is a certified Ophthalmology practicing in Wheaton, IL. With approximately 14 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2012, Dr. Reddy delivers high-quality medical care to the local community at 2015 N MAIN ST.

Dr. Reddy is affiliated with Wheaton Eye Clinic Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2015 N Main St

Wheaton, IL 601873190

Telephone 6306688250

Fax 6306688916

Associated Practice Facility / Clinic

🏢 Wheaton Eye Clinic Ltd Facility NPI 1801883004

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Wheaton, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -9.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

22 Specialists

Practicing in Wheaton, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

12.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reddy (14 Years) 14 Yrs

Wheaton Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	457	449	$134.72	$126.01
92004 New patient complete exam of visual system	309	309	$159.94	$148.86
92012 Established patient problem focused exam of visual system	214	179	$95.54	$90.63
99213 Established patient office or other outpatient visit, typically 15 minutes	213	199	$97.20	$93.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	159	$138.17	$130.71
92134 Imaging of retina	126	124	$44.38	$40.53
92133 Imaging of optic nerve	96	91	$39.55	$35.82
92083 Exam of visual field with extended testing	54	51	$67.52	$63.78
68761 Closure of tear duct opening using plug	37	31	$312.46	$218.68
76514 Ultrasound scan of cornea to determine thickness	26	26	$12.63	$11.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$122.56	$115.45
92002 New patient problem focused exam of visual system	15	15	$94.12	$82.38
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$31.58	$27.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	99	$137.95	$131.89
99213 Established patient office or other outpatient visit, typically 15 minutes	97	86	$97.20	$93.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$119.99	$117.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	221	$194.00	$64.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	115	$280.00	$94.72
92083 Exam of visual field with extended testing	103	78	$143.44	$27.80
92133 Imaging of optic nerve	103	91	$122.00	$21.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	54	$142.00	$34.47
92134 Imaging of retina	54	47	$134.00	$24.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$308.00	$79.40
68761 Closure of tear duct opening using plug	26	21	$1324.00	$168.87
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$234.00	$46.86
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$2442.00	$327.91
92020 Examination of cornea and iris using lens device and slit lamp	14	13	$125.00	$19.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	184	152	$185.00	$49.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	120	$266.00	$76.50
92133 Imaging of optic nerve	84	82	$109.00	$21.85
92083 Exam of visual field with extended testing	71	63	$137.56	$27.83
92014 Established patient complete exam of visual system	70	70	$279.00	$77.53
92134 Imaging of retina	41	41	$109.00	$25.18
92004 New patient complete exam of visual system	40	40	$335.00	$96.73
99441 Telephone medical discussion with physician, 5-10 minutes	21	21	$85.00	$24.71
76514 Ultrasound scan of cornea to determine thickness	17	17	$94.00	$7.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$293.00	$72.96
92012 Established patient problem focused exam of visual system	15	15	$229.00	$51.14
66821 Removal of recurring cataract in lens capsule using a laser	14	14	$2325.71	$321.54
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$125.00	$20.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	169	$176.00	$49.46
92133 Imaging of optic nerve	90	84	$103.00	$22.11
92083 Exam of visual field with extended testing	69	60	$126.28	$28.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$254.00	$76.00
92014 Established patient complete exam of visual system	55	55	$266.00	$77.42
92004 New patient complete exam of visual system	42	42	$320.00	$98.10
92134 Imaging of retina	38	38	$103.00	$25.62
92012 Established patient problem focused exam of visual system	27	27	$219.00	$51.88
92002 New patient problem focused exam of visual system	22	22	$278.00	$47.56
66821 Removal of recurring cataract in lens capsule using a laser	17	17	$2274.41	$322.59
76514 Ultrasound scan of cornea to determine thickness	14	14	$94.00	$7.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	400	312	$171.00	$52.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	108	$246.00	$80.60
92083 Exam of visual field with extended testing	92	72	$144.78	$31.16
92133 Imaging of optic nerve	81	73	$100.42	$22.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$273.00	$73.29
92134 Imaging of retina	39	35	$99.26	$26.30
92002 New patient problem focused exam of visual system	27	27	$278.00	$46.88
92004 New patient complete exam of visual system	18	18	$305.00	$98.52
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$207.00	$49.86
66821 Removal of recurring cataract in lens capsule using a laser	14	14	$2214.86	$323.29
92014 Established patient complete exam of visual system	14	14	$253.00	$87.41
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$122.00	$20.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$133.00	$29.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	223	$165.00	$66.19
92014 Established patient complete exam of visual system	209	207	$253.00	$109.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	134	$237.00	$100.03
92133 Imaging of optic nerve	114	98	$117.77	$27.85
92083 Exam of visual field with extended testing	114	79	$241.49	$49.52
92004 New patient complete exam of visual system	53	53	$305.00	$125.93
92134 Imaging of retina	47	41	$120.94	$32.12
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$200.00	$63.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$263.00	$92.45
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$122.00	$24.18
66821 Removal of recurring cataract in lens capsule using a laser	18	16	$2045.67	$324.94
76514 Ultrasound scan of cornea to determine thickness	12	11	$99.00	$11.04
92002 New patient problem focused exam of visual system	11	11	$278.00	$55.43

Medical Specialties & State Licenses

CMS Verified: 2024-08-27

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036-166310

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036-166310 (IL)

Hospital & Practice Group Affiliations

Wheaton Eye Clinic Ltd

2015 N Main St, Wheaton, IL 601873152

Phone: 6306688250

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Susan Anderson-Nelson , MD

Ophthalmology - Retina Specialist

NPI 1013904986

Doctor of Medicine (M.D.)

Dr. Ann Clark , OD

Optometrist

NPI 1073833034

Doctor of Optometry

Dr. Frini Makadia , MD

Ophthalmology - Glaucoma Specialist

NPI 1083069702

Doctor of Medicine (M.D.)

Dr. Gregory Fenton , MD

Ophthalmology

NPI 1114136959

Doctor of Medicine (M.D.)

Dr. Cathleen Cronin , MD

Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist

NPI 1114986296

Doctor of Medicine (M.D.)

Dr. Jeremy Wingard , MD

Ophthalmology - Glaucoma Specialist

NPI 1124218789

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 27, 2024

Registered at 2015 N MAIN ST, WHEATON, IL 601873190 (Tel: 6306688250)

📍

Updated Business Mailing Address August 27, 2024

Registered at 2015 N MAIN ST, WHEATON, IL 601873190 (Tel: 6306688250)

👤

Provider Name / Credentials Updated August 27, 2024

Recorded as SHILPA REDDY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2024

Ophthalmology (License #036-166310 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Ophthalmology (License #MD26748 in ME)

📍

Updated Practice Location November 26, 2021

Registered at 515 S MIDVALE BLVD APT 326, MADISON, WI 537111471 (Tel: 2052408528)

📍

Updated Business Mailing Address November 26, 2021

Registered at 515 S MIDVALE BLVD APT 326, MADISON, WI 537111471 (Tel: 2052408528)

✅

NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 01, 2016

Registered at 2349 DEMING WAY, MIDDLETON, WI 535625530 (Tel: 6088243937)

📍

Updated Business Mailing Address August 01, 2016

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated August 01, 2016

Recorded as SHILPA REDDY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Ophthalmology (License #65889-20 in WI)

🟢

Initial NPI Registration & Enumeration April 09, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861758369

Entity Type:

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

Enumeration Date: April 09, 2012

Last Update: August 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2015 N Main St

Wheaton, IL 601873190

Phone: 6306688250

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.