DR. DEBRA JANE SHETLAR MD
NPI 1295736395
Ophthalmology in Houston, TX
About Dr. Debra Jane Shetlar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEBRA JANE SHETLAR MD (NPI 1295736395) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (G8413) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sugar Land, and is a graduate of University Of Texas Medical School At Houston (1984).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Debra Jane Shetlar Md 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 Reassignments
3Medicare enrollment records show Debra Shetlar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 clinicians in this Medicare group
Pasadena, TX 77505
- Reassigned Medicare billing, Texas enrollment
- 118 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 77030 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 20
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 Debra Shetlar's NPI number?
The NPI number for Debra Shetlar is 1295736395. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is Debra Shetlar located?
Debra Shetlar practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 526-4243.
What is Debra Shetlar's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Debra Shetlar enrolled in Medicare?
Yes. Debra Shetlar 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 organizations bill Medicare for Debra Shetlar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Shetlar reassigns Medicare benefits to 3 organizations: Baylor College Of Medicine (Houston, TX), Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Pasadena, TX). Each 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 Debra Shetlar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Debra Shetlar accept?
Health plans from Blue Cross and Blue Shield of Texas list Debra Shetlar 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 Debra Shetlar was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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. Debra Jane Shetlar, MD · NPI 1295736395
Ophthalmology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since August 10, 2005.
## Identity
- **NPI:** 1295736395 (Entity type: Individual)
- **Enumerated:** August 10, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** G8413 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1504 TAUB LOOP, Houston, TX 77030-1608
- **Phone:** (713) 526-4243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Baylor College Of Medicine (NPI 1053352914, Houston, TX); Baylor College Of Medicine (NPI 1881026664, Houston, TX); Baylor College Of Medicine (NPI 1316921026, Pasadena, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 1984
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295736395) · Data from the CMS NPPES public registry.