TODD DAVID SHOCKLEY D.M.D.
NPI 1194919779
Dentist - General Practice in Keystone Heights, FL

Q: What is Todd Shockley's NPI number?

The NPI number for Todd Shockley is 1194919779. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Q: What is Todd Shockley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Todd Shockley was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 28, 2007PECOS Enrolled

260 S LAWRENCE BLVD, SUITE 102, KEYSTONE HEIGHTS, FL 32656(352) 473-0707(352) 473-5187 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Todd David Shockley D.m.d. NPPES

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

TODD DAVID SHOCKLEY D.M.D. (NPI 1194919779) is an individual general practice provider in Keystone Heights, Florida, licensed in Florida (DN15741) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194919779

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTODD DAVID SHOCKLEYCredential: D.M.D.

Location Address260 S LAWRENCE BLVD, SUITE 102Keystone Heights, FL 32656-9217

Mailing Address260 S Lawrence Blvd, Suite 102Keystone Heights, FL 32656-9217 · (352) 473-0707 · Fax (352) 473-5187

Phone(352) 473-0707

Fax(352) 473-5187

Sole ProprietorYes

Enumeration DateAugust 28, 2007

✔ NPI 1194919779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN15741

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

260 S LAWRENCE BLVD, Keystone Heights, FL 32656

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd David Shockley D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32656 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES

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

DR. JAMES HARRY MINESINGER O.D.

Optometrist

260 S LAWRENCE BLVD, SUITE 101
KEYSTONE HEIGHTS, FL 32656

Clay County (352) 473-2600

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 Todd Shockley's NPI number?

The NPI number for Todd Shockley is 1194919779. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Todd Shockley located?

Todd Shockley practices at 260 S Lawrence Blvd Suite 102, Keystone Heights, FL 32656. The listed phone number is (352) 473-0707.

What is Todd Shockley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Todd Shockley enrolled in Medicare?

Yes. Todd Shockley is registered in the Medicare PECOS enrollment system.

What insurance does Todd Shockley accept?

Health plans from Guardian list Todd Shockley 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 Todd Shockley was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.