DR. ADAM T SHUPE O.D.
NPI 1154567790
Optometrist in Salem, OR
About Dr. Adam T Shupe O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADAM T SHUPE O.D. (NPI 1154567790) is an individual optometrist in Salem, Oregon, licensed in Oregon (ATI4341) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Adam T Shupe O.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Adam Shupe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97301
- Reassigned Medicare billing, Oregon enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Adam Shupe's NPI number?
The NPI number for Adam Shupe is 1154567790. It was assigned to this individual provider in the NPPES registry on January 4, 2009.
Where is Adam Shupe located?
Adam Shupe practices at 655 Medical Center Dr NE, Salem, OR 97301. The listed phone number is (503) 581-5287.
What is Adam Shupe's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Adam Shupe enrolled in Medicare?
Yes. Adam Shupe 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.
Which organization bills Medicare for Adam Shupe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Shupe reassigns Medicare benefits to Medical Center Eye Clinic LLC (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Shupe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Shupe accept?
Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Adam Shupe 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.
When was this NPI record last updated?
The NPPES record for Adam Shupe was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Adam T Shupe, O.D. · NPI 1154567790
Optometrist provider in Salem, Oregon. Individual provider, active in the CMS NPPES registry since January 4, 2009.
## Identity
- **NPI:** 1154567790 (Entity type: Individual)
- **Enumerated:** January 4, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** ATI4341 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 MEDICAL CENTER DR NE, Salem, OR 97301-2751
- **Phone:** (503) 581-5287 · **Fax:** (503) 386-1377
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Medical Center Eye Clinic LLC (NPI 1255859799, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2009
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154567790) · Data from the CMS NPPES public registry.