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DR. RACHEL SHEWMAKE O.D.
NPI 1568414829
Optometrist in Cape Girardeau, MO

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
297 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703(573) 651-5200(573) 651-3743 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rachel Shewmake O.d. NPPES

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

DR. RACHEL SHEWMAKE O.D. (NPI 1568414829) is an individual optometrist in Cape Girardeau, Missouri, licensed in Missouri (T02996) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (1991).

NPPES Registry Identity

NPI1568414829
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. RACHEL SHEWMAKECredential: O.D.
Location Address297 S SILVER SPRINGS RDCape Girardeau, MO 63703-6309
Mailing Address1200 W Deyoung StMarion, IL 62959-4437 · (618) 993-5686 · Fax (618) 997-6250
Phone(573) 651-5200
Fax(573) 651-3743
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1991
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 6, 2008
✔ NPI 1568414829 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 MO · T02996
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.
297 S SILVER SPRINGS RD, Cape Girardeau, MO 63703
Open in Google Maps ↗

Other Identifiers 11

Medicare PIN00091035MO
Other050266Health Alliance
Medicare UPINU31496MO
Other0814870015MO · Medicare Nsc Number
Other410039298MO · Medicare Railroad
OtherMO2996Eyemed
Other106598Anthem Blue Cross Blue Shield
Medicaid046008418IL
Other0814870013MO · Medicare Nsc Number
Other0814870006MO · Medicare Nsc Number
Medicaid313901407MO

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 Sunflower Health Plan 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

Dr. Rachel Shewmake O.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 ID8022145465
PECOS Enrollment IDI20100416000320
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 9

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
179 services171 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.
62 services62 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.
53 services39 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
44 services22 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.
29 services29 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost20.4

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%96 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%66 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

EMMA KATHERINE PEARSON OD
Optometrist
297 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 651-5200
JENNIFER HURST DO
Optometrist
297 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 651-5200

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 Rachel Shewmake's NPI number?

The NPI number for Rachel Shewmake is 1568414829. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Rachel Shewmake located?

Rachel Shewmake practices at 297 S Silver Springs Rd, Cape Girardeau, MO 63703. The listed phone number is (573) 651-5200.

What is Rachel Shewmake's specialty?

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

Is Rachel Shewmake enrolled in Medicare?

Yes. Rachel Shewmake 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 Rachel Shewmake accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 9 other insurers list Rachel Shewmake 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 Rachel Shewmake was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.