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KAREEN SHEBACLO MD
NPI 1063935542
Ophthalmology in Philadelphia, PA

Active since July 17, 2017PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
840 WALNUT ST STE 910, PHILADELPHIA, PA 19107(215) 928-3250(215) 928-3276 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, May 26, 2025, Nov 2, 2022 and 2 more (5 updates tracked since 2017).

About Kareen Shebaclo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREEN SHEBACLO MD (NPI 1063935542) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Florida (ME176400) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1063935542
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKAREEN SHEBACLOCredential: MD
Location Address840 WALNUT ST STE 910Philadelphia, PA 19107-5109
Mailing Address840 Walnut St Ste 910Philadelphia, PA 19107-5109 · (215) 928-3250 · Fax (215) 928-3276
Phone(215) 928-3250
Fax(215) 928-3276
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateJuly 17, 2017
Last NPPES UpdateOctober 1, 20255 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1063935542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME176400✔ Licensed in PA · MD478276
Definition
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.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License MD478276 (PA)
840 WALNUT ST STE 910, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kareen Shebaclo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375922321
PECOS Enrollment IDI20220622000017, I20250624000348, I20250925004268
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON BLAIR HUGGINS WATSON M.D.
Ophthalmology
840 WALNUT ST STE 910
PHILADELPHIA, PA 19107
Philadelphia County (215) 928-3250
CHARLOTTE LUCINE MAROUS M.D.
Ophthalmology
840 WALNUT ST STE 910
PHILADELPHIA, PA 19107
Philadelphia County (215) 928-3250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kareen Shebaclo's NPI number?

The NPI number for Kareen Shebaclo is 1063935542. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Kareen Shebaclo located?

Kareen Shebaclo practices at 840 Walnut St Ste 910, Philadelphia, PA 19107. The listed phone number is (215) 928-3250.

What is Kareen Shebaclo's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kareen Shebaclo enrolled in Medicare?

Yes. Kareen Shebaclo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kareen Shebaclo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kareen Shebaclo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kareen Shebaclo affiliated with any hospitals?

According to CMS data, Kareen Shebaclo is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Kareen Shebaclo was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.