DR. SHIRLEY PAULINE MIDDLETON MD
NPI 1487668075
Ophthalmology in Washington, DC

Active since July 28, 2006PECOS Enrolled
86.97/100
CMS Quality Rating
4301 CONNECTICUT AVE NW STE 125, WASHINGTON, DC 20008(202) 362-4545(301) 896-0968 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shirley Pauline Middleton Md NPPES

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

DR. SHIRLEY PAULINE MIDDLETON MD (NPI 1487668075) is an individual ophthalmology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD25821) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockville.

NPPES Registry Identity

NPI1487668075
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHIRLEY PAULINE MIDDLETONCredential: MD
Location Address4301 CONNECTICUT AVE NW STE 125Washington, DC 20008
Mailing Address4301 Connecticut Ave Nw Ste 125Washington, DC 20008-2332 · (202) 362-4545 · Fax (301) 896-0968
Fax(301) 896-0968
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateOctober 21, 2019
NPI 1487668075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in DC · MD25821 Licensed in MD · 916264
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4301 CONNECTICUT AVE NW STE 125, Washington, DC 20008

Secondary Practice Location 1

Location 111300 Rockville Pike Ste 1202Rockville, MD 20852-3040 · Phone (301) 896-0890

Other Identifiers 1

Medicaid021992600DC

Accepted 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)

Dr. Shirley Pauline Middleton Md 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 20008 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

86.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.4

Other Providers at the Same Location NPPES 3

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

Ophthalmology
4301 CONNECTICUT AVE NW STE 125
WASHINGTON, DC 20008
Ophthalmology
4301 CONNECTICUT AVE NW STE 125
WASHINGTON, DC 20008
Ophthalmology
4301 CONNECTICUT AVE NW STE 125
WASHINGTON, DC 20008

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 Shirley Middleton's NPI number?

The NPI number for Shirley Middleton is 1487668075. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Shirley Middleton located?

Shirley Middleton practices at 4301 Connecticut Ave NW Ste 125, Washington, DC 20008. The listed phone number is (202) 362-4545.

What is Shirley Middleton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shirley Middleton enrolled in Medicare?

Yes. Shirley Middleton is registered in the Medicare PECOS enrollment system.

What insurance does Shirley Middleton accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Shirley Middleton 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 Shirley Middleton was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.