Active NPI 1255361705 Individual Practitioner Female Practitioner

Dr. Monica Sheaffer , OD

Optometrist • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Monica Sheaffer, OD is a registered healthcare professional specializing in Optometrist in Baltimore, MD. Practice services are available at 4940 EASTERN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new 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

4940 Eastern Ave

Baltimore, MD 212242735

Telephone 4105502360

Associated Practice Facility / Clinic

🏢 Johns Hopkins University Facility NPI 1922008549

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Baltimore, MD

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.0 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

125 Specialists

Practicing in Baltimore, MD (952 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$182.00	$96.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	174	$179.65	$97.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$276.82	$120.05
92134 Imaging of retina	54	51	$150.00	$43.12
92133 Imaging of optic nerve	39	35	$152.56	$38.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$112.67	$61.60
92083 Exam of visual field with extended testing	27	26	$229.67	$68.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	111	110	$175.00	$100.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$271.00	$123.23
92134 Imaging of retina	46	45	$150.00	$44.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	39	$110.00	$61.73
92004 New patient complete exam of visual system	38	38	$396.32	$163.93
92133 Imaging of optic nerve	32	29	$150.00	$39.66
92014 Established patient complete exam of visual system	22	22	$265.50	$139.34
92083 Exam of visual field with extended testing	19	18	$224.00	$70.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	96	$151.55	$82.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$208.57	$118.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$85.14	$50.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	79	$150.00	$79.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$202.00	$117.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$81.00	$49.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	95	$150.00	$77.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$202.00	$116.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	102	$150.00	$77.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$202.00	$115.52

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MD TA1205

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

102198200 (MD)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Kathy Bull-Henry

Internal Medicine - Gastroenterology

NPI 1407854557

Dr. Brinda Krish , DO

Anesthesiology

NPI 1831622554

Doctor of Osteopathic Medicine (D.O.)

Dr. Nathan Congdon , MD

Ophthalmology

NPI 1871549311

Doctor of Medicine (M.D.)

Dr. Richard Schoen , OD

Optometrist

NPI 1942232855

Doctor of Optometry

Dr. Divya Srikumaran , MD

Ophthalmology

NPI 1992841399

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2013

Registered at 4940 EASTERN AVE, BALTIMORE, MD 212242735 (Tel: 4105502360)

📍

Updated Business Mailing Address February 18, 2013

Registered at PO BOX 64481, BALTIMORE, MD 212644481 (Tel: 4105505401)

👤

Provider Name / Credentials Updated February 18, 2013

Recorded as MONICA SHEAFFER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2013

Optometrist (License #TA1205 in MD)

🟢

Initial NPI Registration & Enumeration July 03, 2006

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: 1255361705

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: February 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 64481

Baltimore, MD 212644481

Phone: 4105505401

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.