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Active NPI 1154567790 Individual Practitioner Male Practitioner

Dr. Adam T Shupe , OD

Optometrist • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Shupe, OD is a certified Optometrist practicing in Salem, OR. With approximately 17 years of clinical experience since graduating from Southern College Of Optometry in 2009, Dr. Shupe delivers high-quality medical care to the local community at 655 MEDICAL CENTER DR NE.

Dr. Shupe is affiliated with Medical Center Eye Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include closure of tear duct opening using plug, established 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

655 Medical Center Dr Ne

Salem, OR 973012751

Telephone 5035815287
Fax 5033861377
Associated Practice Facility / Clinic
🏢 Medical Center Eye Clinic Llc Facility NPI 1255859799

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Salem, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -1.9 yrs vs City Avg
City Avg: 18.9 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
43 Specialists

Practicing in Salem, OR (975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shupe (17 Years) 17 Yrs
Salem Specialty Average (18.9 Years) 18.9 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
68761 Closure of tear duct opening using plug
639 102 $240.00 $85.07
92014 Established patient complete exam of visual system
269 257 $220.00 $123.60
92012 Established patient problem focused exam of visual system
254 151 $170.00 $88.39
92004 New patient complete exam of visual system
46 46 $240.00 $148.76
92133 Imaging of optic nerve
42 41 $140.00 $35.82
92134 Imaging of retina
42 41 $140.00 $40.59
92250 Photography of the retina
39 37 $130.00 $36.46
92083 Exam of visual field with extended testing
30 30 $180.00 $62.31
92020 Examination of cornea and iris using lens device and slit lamp
11 11 $80.00 $27.37

Medical Specialties & State Licenses

CMS Verified: 2026-07-15
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR ATI4341

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.

Hospital & Practice Group Affiliations

Medical Center Eye Clinic Llc

655 Medical Ctr Dr Ne, Salem, OR 973012751

Phone: 5035815287

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1043327521

Doctor of Medicine (M.D.)

NPI 1205883865

Doctor of Medicine (M.D.)

Dr. John Dodd , DO

Ophthalmology

NPI 1215190400

Doctor of Osteopathic Medicine (D.O.)

NPI 1285213819

Doctor of Medicine (M.D.)

NPI 1467456061

Doctor of Medicine (M.D.)

NPI 1518961119

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 16, 2025

Registered at 655 MEDICAL CENTER DR NE, SALEM, OR 973012751 (Tel: 5035815287)

📍
Updated Business Mailing Address July 16, 2025

Registered at 655 MEDICAL CENTER DR NE, SALEM, OR 973012751 (Tel: 5035815287)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2025

Optometrist (License #ATI4341 in OR)

NPI Profile Active July 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2013

Registered at 320 H ST, SUITE 4, MARYSVILLE, CA 959015834 (Tel: 5307431873)

📍
Updated Business Mailing Address July 30, 2013

Registered at 320 H ST, SUITE 4, MARYSVILLE, CA 959015834 (Tel: 5307431873)

👤
Provider Name / Credentials Updated July 30, 2013

Recorded as ADAM SHUPE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2013

Optometrist (License #13737TLG in CA)

🟢
Initial NPI Registration & Enumeration January 04, 2009

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: 1154567790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2009
Last Update: July 15, 2026
Sole Proprietor: No

Mailing Address

655 Medical Center Dr Ne

Salem, OR 973012751

Phone: 5035815287

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.