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SABRINA M SHULTZ OD
NPI 1316086580
Optometrist in Glen Carbon, IL

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
80.42/100
CMS Quality Rating
18 GINGER CREEK PKWY, GLEN CARBON, IL 62034(618) 656-7774(618) 656-0536 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2019, Dec 9, 2015 (2 updates tracked since 2015).

About Sabrina M Shultz Od NPPES

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

SABRINA M SHULTZ OD (NPI 1316086580) is an individual optometrist in Glen Carbon, Illinois, licensed in Illinois (046009802) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Missouri St Louis - School Of Optometry (2005).

NPPES Registry Identity

NPI1316086580
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSABRINA M SHULTZCredential: OD
Location Address18 GINGER CREEK PKWYGlen Carbon, IL 62034-3502
Mailing Address2020 W Iles AveSpringfield, IL 62704-7015 · (217) 698-3030 · Fax (217) 698-4728
Phone(618) 656-7774
Fax(618) 656-0536
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2005
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMay 20, 20192 updates tracked since enumeration
✔ NPI 1316086580 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 IL · 046009802
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.
18 GINGER CREEK PKWY, Glen Carbon, IL 62034
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Secondary Practice Locations 4

Location 12020 W Iles AveSpringfield, IL 62704-7015 · Phone (217) 698-3030 ext. 105 · Fax (217) 698-4728
Location 21310 Dadrian Prof ParkGodfrey, IL 62035-1685 · Phone (618) 433-5005 · Fax (618) 467-1053
Location 312 Maryville Professional CenterMaryville, IL 62062 · Phone (618) 288-7266
Location 42421 Corporate CtrGranite City, IL 62040-4195 · Phone (618) 931-6980 · Fax (618) 931-2470

Other Identifiers 1

Medicaid046009802IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Sabrina M Shultz 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 ID5193826147
PECOS Enrollment IDI20070720000747
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 62034 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

80.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost34.74

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 Sabrina Shultz's NPI number?

The NPI number for Sabrina Shultz is 1316086580. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Sabrina Shultz located?

Sabrina Shultz practices at 18 Ginger Creek Pkwy, Glen Carbon, IL 62034. The listed phone number is (618) 656-7774.

What is Sabrina Shultz's specialty?

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

Is Sabrina Shultz enrolled in Medicare?

Yes. Sabrina Shultz 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 Sabrina Shultz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Sabrina Shultz 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 Sabrina Shultz was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.