KAREN FITZGERALD-SHELTON MD
NPI 1437136959
Ophthalmology - Glaucoma Specialist in Murfreesboro, TN

Q: What is Karen Fitzgerald-shelton's NPI number?

The NPI number for Karen Fitzgerald-shelton is 1437136959. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Q: What is Karen Fitzgerald-shelton's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment

68.44/100

CMS Quality Rating

1602 W. NORTHFIELD BLVD., STE. 504, MURFREESBORO, TN 37129(617) 217-3321(615) 217-3477 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2023, Jan 31, 2020, May 14, 2019 and 1 more (4 updates tracked since 2017).

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About Karen Fitzgerald-shelton Md NPPES

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

KAREN FITZGERALD-SHELTON MD (NPI 1437136959) is an individual glaucoma specialist in Murfreesboro, Tennessee, licensed in Alabama (MD.37184) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and is a graduate of University Of Michigan Medical School (1991).

NPPES Registry Identity

NPI1437136959

Entity TypeIndividualFemale

Primary Taxonomy207WX0009X

Provider Legal NameKAREN FITZGERALD-SHELTONCredential: MD

Location Address1602 W. NORTHFIELD BLVD., STE. 504Murfreesboro, TN 37129-6056

Mailing Address341 Cool Springs Blvd., Ste. 400Franklin, TN 37067 · (423) 508-7337 · Fax (423) 508-7338

Phone(617) 217-3321

Fax(615) 217-3477

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1991

Enumeration DateDecember 27, 2005

Last NPPES UpdateFebruary 13, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2023

✔ NPI 1437136959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0009X

License✔ Licensed in AL · MD.37184

Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Also ListedOphthalmologyTaxonomy 207W00000X · License 0101055524 (VA)

1602 W. NORTHFIELD BLVD., Murfreesboro, TN 37129

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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 Magnolia Health 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

Karen Fitzgerald-shelton 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.

PECOS PAC ID5496825937

PECOS Enrollment IDI20200313002088

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 14

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

265 services155 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

209 services151 patients

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.

161 services134 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.

142 services90 patients

Insertion of drug delivery implant into tear duct of eye 68841

This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.

112 services68 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

110 services101 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

104 services90 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

79 services76 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).

72 services71 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

42 services31 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

42 services40 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

37 services37 patients

Measurement of corneal curvature and depth of eye 92136

22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

68.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.66

Promoting Interoperability

Improvement Activities

Cost

55.82

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. KATHERINE JONES OD

Optometrist

1602 W. NORTHFIELD BLVD., STE. 504
MURFREESBORO, TN 37129

Rutherford County (615) 217-3321

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 Karen Fitzgerald-shelton's NPI number?

The NPI number for Karen Fitzgerald-shelton is 1437136959. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Karen Fitzgerald-shelton located?

Karen Fitzgerald-shelton practices at 1602 W. Northfield Blvd. Ste. 504, Murfreesboro, TN 37129. The listed phone number is (617) 217-3321.

What is Karen Fitzgerald-shelton's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Karen Fitzgerald-shelton enrolled in Medicare?

Yes. Karen Fitzgerald-shelton 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 Karen Fitzgerald-shelton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Karen Fitzgerald-shelton 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.

Is Karen Fitzgerald-shelton affiliated with any hospitals?

According to CMS data, Karen Fitzgerald-shelton is affiliated with Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Fitzgerald-shelton was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.