DR. JUSTIN M SHAW M.D.
NPI 1528387438
Ophthalmology in Lancaster, PA

Q: What is Justin Shaw's NPI number?

The NPI number for Justin Shaw is 1528387438. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Q: What is Justin Shaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Shaw was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 18, 2010PECOS EnrolledAccepts Medicare Assignment

92.18/100

CMS Quality Rating

485 ROYER DRIVE, SUITE 103, LANCASTER, PA 17601(717) 560-4020(717) 560-2919 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 8, 2020, Aug 24, 2020, Oct 31, 2016 (3 updates tracked since 2016).

On this page

About Dr. Justin M Shaw M.d. NPPES

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

DR. JUSTIN M SHAW M.D. (NPI 1528387438) is an individual ophthalmology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD454562) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2010).

NPPES Registry Identity

NPI1528387438

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JUSTIN M SHAWCredential: M.D.

Location Address485 ROYER DRIVE, SUITE 103Lancaster, PA 17601-5102

Mailing Address485 Royer Drive, Suite 103Lancaster, PA 17601-5102 · (717) 560-4020 · Fax (717) 560-2919

Phone(717) 560-4020

Fax(717) 560-2919

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2010

Enumeration DateMay 18, 2010

Last NPPES UpdateDecember 8, 20203 updates tracked since enumeration

NPPES CertifiedDecember 8, 2020

✔ NPI 1528387438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD454562

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.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License MD454562 (PA)

485 ROYER DRIVE, Lancaster, PA 17601

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Other Identifiers 1

Medicaid1030216600001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Blue Cross and Blue Shield of Louisiana and more.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. Justin M Shaw M.d. 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 ID2769610658

PECOS Enrollment IDI20150717000071

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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Doctors Of Lancaster Ltd

Same address

Ophthalmology

485 ROYER DR, STE 103
Lancaster, PA 17601

Reassigned Medicare billing, Pennsylvania enrollment
8 clinicians in this Medicare group

NPI 1235145665 (717) 560-4020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

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).

488 services348 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.

439 services314 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.

264 services242 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.

199 services163 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

108 services68 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.

105 services85 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.

74 services74 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

71 services64 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

69 services38 patients

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.

66 services37 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.

58 services44 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

42 services28 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.

30 services30 patients

Removal of cataract with insertion of prosthetic lens 66984

28 services14 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.

23 services23 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

21 services21 patients

Destruction of tissue of eyelid border 66740

"Destruction of tissue of eyelid border" is a medical procedure where a healthcare professional removes or destroys abnormal tissue along the edge of your eyelid. This could be due to various reasons such as growths, infections, or damage. The goal is to preserve eye health and function.

14 services12 patients

Repair of defect of sclera with graft 67255

This procedure involves fixing a defect in the sclera, the white part of your eye. A graft, or piece of tissue, is used to repair the area. This is done to maintain the shape of your eye and protect its inner parts.

14 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

92.18/100

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

Scored as part of a group practice

Improvement Activities

Cost

84.37

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 Justin Shaw's NPI number?

The NPI number for Justin Shaw is 1528387438. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Justin Shaw located?

Justin Shaw practices at 485 Royer Drive Suite 103, Lancaster, PA 17601. The listed phone number is (717) 560-4020.

What is Justin Shaw's specialty?

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

Is Justin Shaw enrolled in Medicare?

Yes. Justin Shaw 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 organization bills Medicare for Justin Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Shaw reassigns Medicare benefits to Eye Doctors Of Lancaster Ltd (Lancaster, PA). The 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 Justin Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Shaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Highmark Blue Cross Blue Shield Delaware and 1 other insurer list Justin Shaw 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 Justin Shaw was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.