Active NPI 1669455044 Individual Practitioner Male Practitioner

Dr. Michael B. Shapiro , MD

Ophthalmology • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Shapiro, MD is a certified Ophthalmology practicing in Madison, WI. With approximately 46 years of clinical experience since graduating from Washington University School Of Medicine in 1980, Dr. Shapiro delivers high-quality medical care to the local community at 1200 JOHN Q HAMMONS DR.

Dr. Shapiro is affiliated with Anderson And Shapiro Eye Surgeons, Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of corneal curvature and depth of eye, insertion of drug delivery implant into tear duct of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 John Q Hammons Dr

Madison, WI 537171959

Telephone 6088277705

Associated Practice Facility / Clinic

🏢 Novamed Surgery Center Of Madison, Limited Partnership Facility NPI 1679570774

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +25.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

95 Specialists

Practicing in Madison, WI (464 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shapiro (46 Years) 46 Yrs

Madison Specialty Average (21.0 Years) 21.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	294	$224.00	$120.70
92136 Measurement of corneal curvature and depth of eye	284	194	$203.17	$37.08
68841 Insertion of drug delivery implant into tear duct of eye	275	153	$135.00	$15.01
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	220	15	$250.00	$205.19
66984 Removal of cataract with insertion of lens	191	106	$5977.00	$442.04
99213 Established patient office or other outpatient visit, typically 15 minutes	162	136	$155.00	$85.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$354.00	$154.68
92083 Exam of visual field with extended testing	120	88	$293.00	$59.92
92025 Ct scan of cornea	105	105	$170.80	$30.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	89	$121.00	$53.05
92134 Imaging of retina	83	76	$146.00	$37.01
66821 Removal of recurring cataract in lens capsule using a laser	82	81	$2528.88	$345.13
92250 Photography of the retina	82	80	$290.00	$33.07
92133 Imaging of optic nerve	81	77	$146.00	$32.00
66982 Complex removal of cataract with insertion of prosthetic lens	81	48	$7195.00	$585.24
92285 Photography of content of eyes	74	74	$232.00	$21.50
92020 Examination of cornea and iris using lens device and slit lamp	50	45	$125.00	$26.03
66030 Injection of medication into eye	24	16	$1650.00	$166.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$248.00	$104.17

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	460	442	$224.00	$122.46
92136 Measurement of corneal curvature and depth of eye	268	179	$223.25	$38.38
68841 Insertion of drug delivery implant into tear duct of eye	255	145	$135.00	$15.42
66984 Removal of cataract with insertion of lens	203	114	$5977.00	$462.14
92083 Exam of visual field with extended testing	169	119	$293.00	$60.41
92250 Photography of the retina	158	156	$290.00	$34.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$354.00	$158.76
99213 Established patient office or other outpatient visit, typically 15 minutes	143	122	$155.00	$86.48
92285 Photography of content of eyes	103	103	$232.00	$21.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	91	$121.00	$53.96
66821 Removal of recurring cataract in lens capsule using a laser	98	97	$3128.00	$392.86
92133 Imaging of optic nerve	97	95	$146.00	$32.77
92134 Imaging of retina	97	84	$146.00	$37.96
92025 Ct scan of cornea	80	80	$113.00	$32.24
92020 Examination of cornea and iris using lens device and slit lamp	57	45	$125.00	$26.87
66982 Complex removal of cataract with insertion of prosthetic lens	49	30	$7195.00	$633.87
92014 Established patient complete exam of visual system	20	20	$221.00	$122.52

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	557	533	$224.00	$122.69
92136 Measurement of corneal curvature and depth of eye	217	140	$219.37	$38.22
68841 Insertion of drug delivery implant into tear duct of eye	203	112	$135.00	$15.31
92083 Exam of visual field with extended testing	179	128	$293.00	$60.12
66984 Removal of cataract with insertion of lens	149	81	$5977.00	$461.32
92250 Photography of the retina	146	146	$290.00	$34.09
99213 Established patient office or other outpatient visit, typically 15 minutes	118	108	$155.00	$86.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$354.00	$157.29
92133 Imaging of optic nerve	111	109	$146.00	$32.61
92285 Photography of content of eyes	107	106	$232.00	$21.35
92134 Imaging of retina	84	81	$146.00	$38.11
92020 Examination of cornea and iris using lens device and slit lamp	82	69	$125.00	$27.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	71	$121.00	$53.48
66982 Complex removal of cataract with insertion of prosthetic lens	53	33	$7195.00	$634.67
66821 Removal of recurring cataract in lens capsule using a laser	49	48	$3036.00	$384.22
66821 Removal of recurring cataract in lens capsule using a laser	34	32	$2916.94	$350.10
92025 Ct scan of cornea	34	33	$113.00	$32.04

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	601	570	$224.00	$125.26
92083 Exam of visual field with extended testing	199	144	$293.00	$61.58
92136 Measurement of corneal curvature and depth of eye	186	129	$226.40	$43.69
0356T Insertion of drug delivery implant into tear ducts	167	102	$135.00	$78.67
66984 Removal of cataract with insertion of lens	143	82	$5977.00	$493.90
92133 Imaging of optic nerve	130	127	$146.00	$33.61
99213 Established patient office or other outpatient visit, typically 15 minutes	128	108	$154.96	$88.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$354.00	$161.43
92134 Imaging of retina	84	77	$146.00	$39.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	70	$121.00	$54.43
92025 Ct scan of cornea	77	75	$113.00	$32.92
92020 Examination of cornea and iris using lens device and slit lamp	76	71	$125.00	$27.42
92250 Photography of the retina	59	59	$290.00	$35.12
92285 Photography of content of eyes	48	48	$232.00	$18.16
66982 Complex removal of cataract with insertion of prosthetic lens	42	26	$7195.00	$623.07
66821 Removal of recurring cataract in lens capsule using a laser	33	32	$3073.64	$387.99
66821 Removal of recurring cataract in lens capsule using a laser	28	27	$2656.50	$333.45

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	443	419	$224.00	$106.01
92083 Exam of visual field with extended testing	194	142	$293.00	$61.85
99213 Established patient office or other outpatient visit, typically 15 minutes	187	169	$155.00	$72.76
92136 Measurement of corneal curvature and depth of eye	159	101	$226.11	$47.49
92020 Examination of cornea and iris using lens device and slit lamp	131	107	$125.00	$27.44
66984 Removal of cataract with insertion of lens	127	67	$5977.00	$486.34
92133 Imaging of optic nerve	105	105	$146.00	$33.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$354.00	$159.23
92250 Photography of the retina	88	83	$290.00	$40.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	62	$121.00	$44.02
92134 Imaging of retina	55	54	$146.00	$39.16
92025 Ct scan of cornea	54	53	$113.00	$33.41
0356T Insertion of drug delivery implant into tear ducts	49	32	$135.00	$76.05
92285 Photography of content of eyes	45	45	$232.00	$17.66
66982 Complex removal of cataract with insertion of prosthetic lens	34	21	$7195.00	$687.56
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$2609.89	$346.26
66821 Removal of recurring cataract in lens capsule using a laser	19	18	$2847.16	$352.62

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	439	419	$224.00	$105.43
99213 Established patient office or other outpatient visit, typically 15 minutes	358	313	$155.00	$71.91
92083 Exam of visual field with extended testing	198	140	$293.00	$62.54
92136 Measurement of corneal curvature and depth of eye	117	87	$185.00	$50.99
92133 Imaging of optic nerve	114	114	$146.00	$33.68
92020 Examination of cornea and iris using lens device and slit lamp	100	84	$125.00	$27.19
66984 Removal of cataract with insertion of lens	96	57	$5977.00	$605.20
92250 Photography of the retina	80	80	$290.00	$44.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$354.00	$158.53
92134 Imaging of retina	66	55	$146.00	$39.73
92285 Photography of content of eyes	55	55	$232.00	$17.74
66821 Removal of recurring cataract in lens capsule using a laser	43	41	$2778.19	$361.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	26	$121.00	$43.56
92025 Ct scan of cornea	32	31	$113.00	$35.01
66982 Complex removal of cataract with insertion of prosthetic lens	31	20	$6977.26	$738.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$248.00	$104.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	491	414	$155.00	$69.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	236	$224.00	$103.28
92083 Exam of visual field with extended testing	226	145	$293.00	$62.07
92136 Measurement of corneal curvature and depth of eye	154	109	$207.36	$61.47
66984 Removal of cataract with insertion of lens	140	84	$5977.00	$601.82
92133 Imaging of optic nerve	123	122	$146.00	$33.74
92020 Examination of cornea and iris using lens device and slit lamp	101	85	$125.00	$26.13
92250 Photography of the retina	98	95	$290.00	$48.95
92014 Established patient complete exam of visual system	82	82	$221.00	$123.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$354.00	$155.11
92012 Established patient problem focused exam of visual system	64	60	$179.00	$85.16
92134 Imaging of retina	55	52	$146.00	$39.84
92285 Photography of content of eyes	46	45	$232.00	$16.82
66821 Removal of recurring cataract in lens capsule using a laser	46	44	$3136.00	$379.50
92025 Ct scan of cornea	42	40	$113.00	$34.13
66982 Complex removal of cataract with insertion of prosthetic lens	30	18	$7195.00	$752.39
92136 Measurement of corneal curvature and depth of eye	25	25	$108.00	$30.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$248.00	$102.87
92004 New patient complete exam of visual system	24	24	$269.00	$147.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$121.00	$41.95

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	372	366	$224.00	$101.25
92014 Established patient complete exam of visual system	369	360	$213.87	$118.26
92083 Exam of visual field with extended testing	238	162	$290.73	$58.59
66984 Removal of cataract with insertion of lens	180	111	$6010.21	$582.48
92136 Measurement of corneal curvature and depth of eye	169	141	$205.31	$68.54
99213 Established patient office or other outpatient visit, typically 15 minutes	159	131	$154.65	$68.75
92020 Examination of cornea and iris using lens device and slit lamp	148	117	$127.11	$25.68
92133 Imaging of optic nerve	144	141	$146.00	$32.95
92250 Photography of the retina	97	97	$290.00	$62.20
92012 Established patient problem focused exam of visual system	85	71	$173.56	$81.47
92004 New patient complete exam of visual system	63	63	$267.60	$142.45
92136 Measurement of corneal curvature and depth of eye	62	62	$108.00	$30.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$354.00	$154.16
92134 Imaging of retina	50	48	$146.00	$38.05
66821 Removal of recurring cataract in lens capsule using a laser	40	40	$2986.55	$360.77
66984 Removal of cataract with insertion of lens	35	23	$5977.00	$601.76
92025 Ct scan of cornea	33	33	$113.00	$33.42
66821 Removal of recurring cataract in lens capsule using a laser	31	31	$2835.68	$341.08
66982 Complex removal of cataract with insertion of prosthetic lens	25	17	$7195.00	$712.97

Medical Specialties & State Licenses

CMS Verified: 2023-07-28

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 24259

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

30616400 (WI)

Hospital & Practice Group Affiliations

Anderson And Shapiro Eye Surgeons, Sc

1200 John Q Hammons Dr, Madison, WI 537171967

Phone: 6088277705

Anderson And Shapiro Eye Surgeons, Sc

1455 W Main St, Sun Prairie, WI 535901837

Phone: 6088252020

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Brady Haferman , OD

Optometrist

NPI 1205027521

Doctor of Optometry

Dr. Charles Anderson , MD

Ophthalmology

NPI 1699758078

Doctor of Medicine (M.D.)

Dr. Nicole Anderson-Weiss , MD

Ophthalmology - Cornea and External Diseases Specialist

NPI 1790704120

Doctor of Medicine (M.D.)

Dr. Claire Cordoba , OD

Optometrist

NPI 1831769124

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address July 28, 2023

Registered at 1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 537171967 (Tel: 6088277705)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1200 JOHN Q HAMMONS DR, MADISON, WI 537171959 (Tel: 6088277705)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1200 JOHN Q HAMMONS DR, MADISON, WI 537171959

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL SHAPIRO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #24259 in WI)

🟢

Initial NPI Registration & Enumeration November 21, 2005

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: 1669455044

Entity Type:

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

Enumeration Date: November 21, 2005

Last Update: July 28, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 John Q Hammons Dr Ste 100

Madison, WI 537171967

Phone: 6088277705

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.