QUENTIN SHAW OD
NPI 1174443725
Optometrist in Wichita, KS

Active since July 15, 2026PECOS EnrolledAccepts Medicare Assignment
3333 N RIDGE RD, WICHITA, KS 67205(316) 201-4600 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Quentin Shaw Od NPPES

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

QUENTIN SHAW OD (NPI 1174443725) is an individual optometrist in Wichita, Kansas, licensed in Kansas (2282) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1174443725
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameQUENTIN SHAWCredential: OD
Location Address3333 N RIDGE RDWichita, KS 67205-1203
Mailing Address12106 W Autumn Ridge CtWichita, KS 67235-9725 · (785) 829-1814
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1174443725 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 KS · 2282
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.
3333 N RIDGE RD, Wichita, KS 67205

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

Quentin Shaw 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 ID2668931114
PECOS Enrollment IDI20260826001160
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.

Medicare Billing Reassignment

Medicare enrollment records show Quentin Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
1223 N ROCK RD BLDG C
Wichita, KS 67206
  • Reassigned Medicare billing, Kansas enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67205 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 Quentin Shaw's NPI number?

The NPI number for Quentin Shaw is 1174443725. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Quentin Shaw located?

Quentin Shaw practices at 3333 N Ridge Rd, Wichita, KS 67205. The listed phone number is (316) 201-4600.

What is Quentin Shaw's specialty?

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

Is Quentin Shaw enrolled in Medicare?

Yes. Quentin Shaw 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 Quentin Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quentin Shaw reassigns Medicare benefits to Lentz Enterprises LLC (Wichita, KS). 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 Quentin Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quentin Shaw accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas, Inc. and 4 other insurers list Quentin Shaw 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 Quentin Shaw 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.