Active NPI 1265435226 Individual Practitioner Male Practitioner

Dr. Marc Douglas Shields , MD

Ophthalmology • Staunton, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Shields, MD is a certified Ophthalmology practicing in Staunton, VA. With approximately 28 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1998, Dr. Shields delivers high-quality medical care to the local community at 1500 COMMERCE RD.

Dr. Shields is affiliated with Eyeone Plc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1500 Commerce Rd

Staunton, VA 244019032

Telephone 5402137720

Fax 5402139441

Associated Practice Facility / Clinic

🏢 Augusta Eye Associates Plc Facility NPI 1760668545

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Staunton, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +10.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Staunton, VA (619 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shields (28 Years) 28 Yrs

Staunton Specialty Average (17.7 Years) 17.7 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	1,179	1,136	$135.16	$126.88
92012 Established patient problem focused exam of visual system	442	380	$100.10	$89.75
92083 Exam of visual field with extended testing	307	291	$95.18	$64.08
92285 Photography of content of eyes	265	248	$35.34	$23.21
92133 Imaging of optic nerve	252	244	$42.01	$36.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	210	$143.01	$129.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	194	194	$185.14	$168.31
92134 Imaging of retina	127	122	$50.20	$39.44
92081 Exam of visual field with limited testing	125	119	$55.20	$31.18
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	124	121	$39.19	$16.67
68840 Probing of nasal-tear duct	76	75	$210.39	$154.75
99213 Established patient office or other outpatient visit, typically 15 minutes	70	66	$101.00	$92.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$124.20	$111.83
92004 New patient complete exam of visual system	42	42	$168.02	$150.47
67820 Removal of eyelashes using forceps	39	37	$36.10	$18.33
67850 Destruction of growth of eyelid margin, 1.0 cm or less	36	36	$248.06	$223.63
92020 Examination of cornea and iris using lens device and slit lamp	33	32	$30.00	$27.76
15823 Removal of excessive skin and fat of upper eyelid	27	27	$923.52	$818.54
76514 Ultrasound scan of cornea to determine thickness	24	24	$14.00	$10.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$787.11	$760.46
66821 Removal of recurring cataract in lens capsule using a laser	17	15	$355.00	$335.08
37609 Tying or biopsy of temporal artery (side of skull)	15	13	$350.00	$312.39
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	11	11	$1096.00	$655.43
67924 Extensive repair of turning-inward eyelid defect	11	11	$783.27	$458.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,427	1,347	$135.32	$126.10
92012 Established patient problem focused exam of visual system	416	339	$100.13	$89.23
92083 Exam of visual field with extended testing	289	269	$95.09	$62.59
92285 Photography of content of eyes	282	263	$35.25	$22.92
92133 Imaging of optic nerve	241	230	$42.03	$35.89
92081 Exam of visual field with limited testing	139	133	$55.18	$30.53
92134 Imaging of retina	109	104	$50.50	$39.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	94	$143.12	$126.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$185.00	$165.64
92004 New patient complete exam of visual system	69	69	$168.87	$149.06
68840 Probing of nasal-tear duct	68	66	$193.38	$143.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$124.00	$111.52
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$101.00	$89.99
67850 Destruction of growth of eyelid margin, 1.0 cm or less	30	29	$250.67	$225.75
92020 Examination of cornea and iris using lens device and slit lamp	26	26	$30.58	$27.64
67820 Removal of eyelashes using forceps	25	22	$35.84	$19.16
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	19	19	$1067.16	$660.85
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$355.00	$332.32
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$785.00	$724.06
37609 Tying or biopsy of temporal artery (side of skull)	17	15	$350.00	$313.17
15823 Removal of excessive skin and fat of upper eyelid	16	16	$1181.88	$806.64
68801 Dilation of tear drainage opening	13	11	$168.08	$88.12
67917 Extensive repair of turning-outward eyelid defect	12	12	$701.17	$450.55
15823 Removal of excessive skin and fat of upper eyelid	12	12	$1270.00	$932.68
76514 Ultrasound scan of cornea to determine thickness	11	11	$14.00	$10.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,900	12	$10.00	$6.14
92014 Established patient complete exam of visual system	1,430	1,358	$135.52	$127.59
92012 Established patient problem focused exam of visual system	474	379	$100.15	$90.46
92083 Exam of visual field with extended testing	277	266	$95.09	$63.50
92285 Photography of content of eyes	262	243	$36.43	$23.34
92133 Imaging of optic nerve	252	246	$42.03	$36.85
92134 Imaging of retina	140	134	$51.00	$40.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	119	$143.52	$129.59
92081 Exam of visual field with limited testing	119	113	$56.39	$30.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$185.49	$166.04
92004 New patient complete exam of visual system	72	72	$167.60	$151.47
68840 Probing of nasal-tear duct	62	60	$189.44	$144.48
67850 Destruction of growth of eyelid margin, 1.0 cm or less	40	37	$250.25	$215.97
15823 Removal of excessive skin and fat of upper eyelid	40	40	$1249.00	$835.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$124.50	$111.35
67820 Removal of eyelashes using forceps	30	29	$36.27	$20.00
92020 Examination of cornea and iris using lens device and slit lamp	27	26	$30.00	$28.38
64612 Injection of chemical for paralysis of nerve muscles on side of face	26	12	$283.85	$178.61
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$101.00	$91.71
68801 Dilation of tear drainage opening	21	21	$286.81	$100.10
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	20	20	$1041.20	$697.88
65855 Laser repair to improve eye fluid flow	17	16	$270.00	$247.53
15823 Removal of excessive skin and fat of upper eyelid	14	14	$1272.86	$846.93
76514 Ultrasound scan of cornea to determine thickness	13	13	$14.00	$11.09
67917 Extensive repair of turning-outward eyelid defect	11	11	$880.91	$445.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,516	1,416	$135.56	$128.37
92012 Established patient problem focused exam of visual system	722	564	$99.87	$91.36
92083 Exam of visual field with extended testing	337	316	$95.31	$64.09
92133 Imaging of optic nerve	297	283	$42.08	$37.08
92285 Photography of content of eyes	255	240	$35.78	$23.30
92081 Exam of visual field with limited testing	129	122	$55.70	$31.35
92134 Imaging of retina	122	110	$50.66	$40.34
92004 New patient complete exam of visual system	120	120	$166.53	$153.05
68840 Probing of nasal-tear duct	51	50	$187.65	$143.56
67850 Destruction of growth of eyelid margin, 1.0 cm or less	49	48	$238.47	$228.44
92020 Examination of cornea and iris using lens device and slit lamp	48	47	$30.31	$28.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$183.96	$170.25
15823 Removal of excessive skin and fat of upper eyelid	36	36	$1203.06	$832.52
67820 Removal of eyelashes using forceps	28	26	$40.29	$23.64
65855 Laser repair to improve eye fluid flow	27	24	$271.85	$251.51
76514 Ultrasound scan of cornea to determine thickness	23	23	$14.00	$11.20
37609 Tying or biopsy of temporal artery (side of skull)	19	19	$350.00	$329.11
68801 Dilation of tear drainage opening	16	12	$312.50	$89.86
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	14	14	$978.57	$659.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$143.00	$131.74
67917 Extensive repair of turning-outward eyelid defect	11	11	$834.55	$481.59
67924 Extensive repair of turning-inward eyelid defect	11	11	$916.00	$491.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,454	1,377	$135.60	$127.65
92012 Established patient problem focused exam of visual system	558	441	$97.57	$89.90
92083 Exam of visual field with extended testing	301	287	$97.43	$64.23
92133 Imaging of optic nerve	271	255	$42.94	$37.37
92285 Photography of content of eyes	195	187	$35.54	$22.06
92004 New patient complete exam of visual system	142	142	$160.00	$152.87
92134 Imaging of retina	115	109	$50.70	$39.67
92081 Exam of visual field with limited testing	96	90	$55.52	$31.46
92020 Examination of cornea and iris using lens device and slit lamp	50	49	$30.00	$28.24
68840 Probing of nasal-tear duct	48	48	$205.42	$143.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$172.00	$167.36
67820 Removal of eyelashes using forceps	32	29	$42.75	$28.15
67850 Destruction of growth of eyelid margin, 1.0 cm or less	32	30	$261.09	$228.33
15823 Removal of excessive skin and fat of upper eyelid	18	18	$1235.56	$841.07
76514 Ultrasound scan of cornea to determine thickness	17	17	$14.71	$11.49
15823 Removal of excessive skin and fat of upper eyelid	13	13	$1143.08	$941.82
37609 Tying or biopsy of temporal artery (side of skull)	13	12	$346.92	$321.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,533	1,450	$135.57	$126.56
92012 Established patient problem focused exam of visual system	799	596	$95.26	$88.27
92083 Exam of visual field with extended testing	394	355	$119.84	$63.91
92285 Photography of content of eyes	278	265	$35.43	$21.45
92133 Imaging of optic nerve	262	250	$50.00	$36.63
92004 New patient complete exam of visual system	159	159	$161.26	$151.77
92081 Exam of visual field with limited testing	136	125	$55.51	$31.29
92134 Imaging of retina	125	120	$50.88	$39.50
92020 Examination of cornea and iris using lens device and slit lamp	69	67	$30.00	$27.82
68840 Probing of nasal-tear duct	62	58	$217.58	$155.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$171.97	$164.74
15823 Removal of excessive skin and fat of upper eyelid	44	44	$1275.34	$821.00
67850 Destruction of growth of eyelid margin, 1.0 cm or less	32	32	$238.75	$215.37
67820 Removal of eyelashes using forceps	32	31	$67.81	$34.36
76514 Ultrasound scan of cornea to determine thickness	28	28	$20.00	$12.03
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	23	23	$1542.39	$690.68
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	18	$771.67	$646.80
65855 Laser repair to improve eye fluid flow	17	15	$355.00	$249.32
37609 Tying or biopsy of temporal artery (side of skull)	16	16	$330.00	$314.16
68440 Snip incision of tear-drainage opening at inner corner of the eye	15	15	$198.00	$126.27
67917 Extensive repair of turning-outward eyelid defect	15	15	$1038.00	$462.72
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	13	13	$420.00	$272.75
67924 Extensive repair of turning-inward eyelid defect	12	12	$758.33	$462.77
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$1110.00	$834.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,800	11	$10.00	$6.04
92014 Established patient complete exam of visual system	1,500	1,427	$135.92	$124.73
92012 Established patient problem focused exam of visual system	811	628	$95.28	$86.88
92083 Exam of visual field with extended testing	321	288	$119.77	$63.24
92133 Imaging of optic nerve	250	239	$50.58	$36.99
92285 Photography of content of eyes	249	243	$35.82	$19.17
92004 New patient complete exam of visual system	149	149	$161.04	$149.75
92081 Exam of visual field with limited testing	115	111	$55.65	$34.17
92134 Imaging of retina	100	91	$50.75	$39.37
92020 Examination of cornea and iris using lens device and slit lamp	80	76	$30.38	$26.76
68840 Probing of nasal-tear duct	70	69	$218.57	$152.77
15823 Removal of excessive skin and fat of upper eyelid	46	46	$1261.96	$805.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$173.00	$163.25
67820 Removal of eyelashes using forceps	40	32	$67.25	$42.92
67850 Destruction of growth of eyelid margin, 1.0 cm or less	31	31	$237.42	$214.29
64612 Injection of chemical for paralysis of nerve muscles on side of face	25	11	$316.80	$183.43
76514 Ultrasound scan of cornea to determine thickness	21	21	$20.00	$14.56
68440 Snip incision of tear-drainage opening at inner corner of the eye	19	17	$156.32	$99.38
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	17	17	$1601.47	$663.07
65855 Laser repair to improve eye fluid flow	17	15	$375.88	$252.59
67917 Extensive repair of turning-outward eyelid defect	15	15	$995.33	$481.33
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	14	$830.00	$618.88
68840 Probing of nasal-tear duct	13	13	$146.92	$58.18
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	13	13	$433.46	$270.78
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$1134.17	$828.83
68761 Closure of tear duct opening using plug	12	11	$247.50	$185.39
92082 Exam of visual field with intermediate testing	11	11	$75.00	$47.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,830	12	$10.00	$5.89
92014 Established patient complete exam of visual system	1,418	1,330	$135.70	$121.74
92012 Established patient problem focused exam of visual system	891	633	$95.10	$83.92
92083 Exam of visual field with extended testing	324	294	$119.94	$63.17
92285 Photography of content of eyes	238	230	$35.57	$18.85
92133 Imaging of optic nerve	224	215	$50.27	$36.40
92004 New patient complete exam of visual system	159	159	$161.26	$147.15
92081 Exam of visual field with limited testing	124	117	$55.36	$33.27
92134 Imaging of retina	92	88	$51.58	$39.49
68840 Probing of nasal-tear duct	78	75	$199.10	$136.72
15823 Removal of excessive skin and fat of upper eyelid	45	45	$1303.78	$808.20
92020 Examination of cornea and iris using lens device and slit lamp	44	43	$30.34	$26.61
67850 Destruction of growth of eyelid margin, 1.0 cm or less	35	34	$238.00	$207.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$172.00	$161.78
67820 Removal of eyelashes using forceps	26	23	$65.38	$51.54
64612 Injection of chemical for paralysis of nerve muscles on side of face	25	12	$322.00	$178.53
76514 Ultrasound scan of cornea to determine thickness	22	22	$20.00	$14.21
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	21	21	$140.00	$121.87
65855 Laser repair to improve eye fluid flow	18	14	$355.00	$241.64
68440 Snip incision of tear-drainage opening at inner corner of the eye	17	15	$181.18	$100.41
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	16	16	$1495.31	$673.83
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	15	$830.00	$569.17
67917 Extensive repair of turning-outward eyelid defect	15	15	$894.67	$529.31
68840 Probing of nasal-tear duct	14	14	$167.50	$61.66
37609 Tying or biopsy of temporal artery (side of skull)	14	14	$377.14	$328.40
15823 Removal of excessive skin and fat of upper eyelid	14	14	$1290.00	$900.11
67800 Removal of eyelid growth	12	12	$135.00	$119.66
67924 Extensive repair of turning-inward eyelid defect	11	11	$610.00	$432.85

Medical Specialties & State Licenses

CMS Verified: 2020-07-08

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101236216

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

010058252 (VA)

Medicaid State Provider ID

010058228 (VA)

Medicaid State Provider ID

010058244 (VA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

137003 (VA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

137008 (VA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

137010 (VA)

Hospital & Practice Group Affiliations

Eyeone Plc

1500 Commerce Rd, Staunton, VA 244019032

Phone: 5402137720

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Susan Gresham , OD

Optometrist

NPI 1053975763

Doctor of Optometry

Dr. James Williams , MD

Ophthalmology

NPI 1114504289

Doctor of Medicine (M.D.)

Dr. Paul Mcconnell , MD

Ophthalmology

NPI 1184834889

Doctor of Medicine (M.D.)

Dr. Peter Richardson , MD

Specialist

NPI 1194720102

Doctor of Medicine (M.D.)

Dr. Rachna Patel , MD

Specialist

NPI 1225031297

Doctor of Medicine (M.D.)

Dr. David Smith , OD

Optometrist

NPI 1265429328

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2020

Ophthalmology (License #0101236216 in VA)

✅

NPI Profile Active February 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2016

Registered at 1500 COMMERCE RD, STAUNTON, VA 244019032 (Tel: 5402137720)

📍

Updated Business Mailing Address February 25, 2016

Registered at 17 N MEDICAL PARK DR, FISHERSVILLE, VA 229392344 (Tel: 5402137720)

👤

Provider Name / Credentials Updated February 25, 2016

Recorded as MARC SHIELDS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2016

Specialist (License #0101236216 in VA)

🟢

Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265435226

Entity Type:

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

Enumeration Date: May 24, 2005

Last Update: July 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17 N Medical Park Dr

Fishersville, VA 229392344

Phone: 5402137720

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.