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SHANE DAVID MARSILI
NPI 1629605050
Ophthalmology in Lexington, KY

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536(859) 323-9918(859) 323-1197 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Mar 25, 2020 (2 updates tracked since 2020).

About Shane David Marsili NPPES

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

SHANE DAVID MARSILI (NPI 1629605050) is an individual ophthalmology provider in Lexington, Kentucky, licensed in Kentucky (59657) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of University Of Nevada School Of Medicine (2020).

NPPES Registry Identity

NPI1629605050
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSHANE DAVID MARSILI
Location Address900 S LIMESTONE CTW 304Lexington, KY 40536-0001
Mailing Address900 S Limestone Ctw 304Lexington, KY 40536-0001 · (859) 323-9918 · Fax (859) 323-1197
Phone(859) 323-9918
Fax(859) 323-1197
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1629605050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 59657
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.
900 S LIMESTONE CTW 304, Lexington, KY 40536
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Shane David Marsili 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 ID7315315801
PECOS Enrollment IDI20240821003213
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 Reassignments

2

Medicare enrollment records show Shane Marsili reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hh-Ecc LLC
23 mi
Ophthalmology
238 GERI LN
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 18 clinicians in this Medicare group
NPI 1932693041 (859) 623-2020
Huffman And Huffman Psc
66 mi
Ophthalmology
503 N MAIN ST
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 15 clinicians in this Medicare group
NPI 1275520116 (606) 877-1877

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 4

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.

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.
62 services42 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.
61 services48 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.
33 services30 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 20

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

DR. MISA ITO MD PHD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561
CHRISTINE ELIZABETH MARLOW MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
KATHARINE HUNTER COOK DO
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
MEAGAN SCHAEFFNER
Internal Medicine
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-9918
DR. BRENNA RENEE KAELIN MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561
STEVEN MICHAEL HALL DO
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
DR. ANDREW JAMES KENNEDY MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561
TITUS LEMASTER MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561

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 Shane Marsili's NPI number?

The NPI number for Shane Marsili is 1629605050. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Shane Marsili located?

Shane Marsili practices at 900 S Limestone Ctw 304, Lexington, KY 40536. The listed phone number is (859) 323-9918.

What is Shane Marsili's specialty?

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

Is Shane Marsili enrolled in Medicare?

Yes. Shane Marsili 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 organizations bill Medicare for Shane Marsili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Marsili reassigns Medicare benefits to 2 organizations: Hh-Ecc LLC (Richmond, KY) and Huffman And Huffman Psc (London, KY). Each 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 Shane Marsili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Marsili accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 4 other insurers list Shane Marsili 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 Shane Marsili affiliated with any hospitals?

According to CMS data, Shane Marsili is affiliated with Whitesburg Arh Hospital, Middlesboro Arh Hospital, Hazard Arh Regional Medical Center, Harlan Arh Hospital and Paul B Hall Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Marsili was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.