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SHELBY RAE BROGDON OD
NPI 1174009500
Optometrist in Little Rock, AR

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment
69.63/100
CMS Quality Rating
500 S UNIVERSITY AVE STE 702, LITTLE ROCK, AR 72205(501) 508-2660(501) 916-4904 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Apr 26, 2021, Jul 18, 2018 (3 updates tracked since 2018).

About Shelby Rae Brogdon Od NPPES

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

SHELBY RAE BROGDON OD (NPI 1174009500) is an individual optometrist in Little Rock, Arkansas, licensed in Arkansas (2783) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174009500
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHELBY RAE BROGDONCredential: OD
Location Address500 S UNIVERSITY AVE STE 702Little Rock, AR 72205-5309
Mailing Address500 S University Ave Ste 702Little Rock, AR 72205-5309 · (501) 508-2660 · Fax (501) 916-4904
Phone(501) 508-2660
Fax(501) 916-4904
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2018
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1174009500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AR · 2783
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License AP-084 (AR)
500 S UNIVERSITY AVE STE 702, Little Rock, AR 72205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Shelby Rae Brogdon Od 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 ID6002166899
PECOS Enrollment IDI20180828003490
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 11

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.
202 services176 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
187 services160 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
159 services111 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.
143 services125 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.
140 services134 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
115 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

69.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99
Promoting Interoperability77
Improvement Activities40
Cost18.94

Other Providers at the Same Location NPPES 3

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

NOH EYES LLC
Clinic/Center (Health Service)
500 S UNIVERSITY AVE STE 702
LITTLE ROCK, AR 72205
Pulaski County (724) 612-7202
ADA NOH
Optometrist
500 S UNIVERSITY AVE STE 702
LITTLE ROCK, AR 72205
Pulaski County (501) 508-2660
DRY EYE CENTER OF ARKANSAS
Optometrist
500 S UNIVERSITY AVE STE 702
LITTLE ROCK, AR 72205
Pulaski County (501) 508-2660

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 Shelby Brogdon's NPI number?

The NPI number for Shelby Brogdon is 1174009500. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Shelby Brogdon located?

Shelby Brogdon practices at 500 S University Ave Ste 702, Little Rock, AR 72205. The listed phone number is (501) 508-2660.

What is Shelby Brogdon's specialty?

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

Is Shelby Brogdon enrolled in Medicare?

Yes. Shelby Brogdon 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 Shelby Brogdon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 10 other insurers list Shelby Brogdon 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 Shelby Brogdon was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.