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CARLA DEANN SHOULTS O.D.
NPI 1164602371
Optometrist in Gillette, WY

Active since November 06, 2007PECOS EnrolledAccepts Medicare Assignment
3107 GOLDENROD AVE, GILLETTE, WY 82716(307) 689-5798 Get Directions Write a Review

NPPES record last updated: August 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carla Deann Shoults O.d. NPPES

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

CARLA DEANN SHOULTS O.D. (NPI 1164602371) is an individual optometrist in Gillette, Wyoming, licensed in Wyoming (317T) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2007).

NPPES Registry Identity

NPI1164602371
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCARLA DEANN SHOULTSCredential: O.D.
Location Address3107 GOLDENROD AVEGillette, WY 82716-2287
Mailing Address2300 S Douglas HwyGillette, WY 82718-5420 · (307) 685-8108
Phone(307) 689-5798
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2007
Enumeration DateNovember 6, 2007
Last NPPES UpdateAugust 22, 2008
✔ NPI 1164602371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WY · 317T
Definition
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.
3107 GOLDENROD AVE, Gillette, WY 82716
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan.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

Carla Deann Shoults 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.

PECOS PAC ID6507934767
PECOS Enrollment IDI20081001000611
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 4

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.
33 services30 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
32 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82716 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

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 Carla Shoults's NPI number?

The NPI number for Carla Shoults is 1164602371. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Carla Shoults located?

Carla Shoults practices at 3107 Goldenrod Ave, Gillette, WY 82716. The listed phone number is (307) 689-5798.

What is Carla Shoults's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Carla Shoults enrolled in Medicare?

Yes. Carla Shoults 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 Carla Shoults accept?

Health plans from Blue Cross Blue Shield of Wyoming and Providence Health Plan list Carla Shoults 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 Carla Shoults was last updated on August 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.