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WILLIAM BLAINE SHUKE O.D.
NPI 1659477339
Optometrist in Everett, PA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
311 HOSPITAL DR, EVERETT, PA 15537(814) 623-1969(814) 623-5590 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Blaine Shuke O.d. NPPES

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

WILLIAM BLAINE SHUKE O.D. (NPI 1659477339) is an individual optometrist in Everett, Pennsylvania, licensed in Pennsylvania (OEG000761) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1985).

NPPES Registry Identity

NPI1659477339
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWILLIAM BLAINE SHUKECredential: O.D.
Location Address311 HOSPITAL DREverett, PA 15537-7022
Mailing Address311 Hospital DrEverett, PA 15537-7022 · (814) 623-1969 · Fax (814) 623-5590
Phone(814) 623-1969
Fax(814) 623-5590
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1985
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 10, 2015
✔ NPI 1659477339 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 PA · OEG000761
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.
311 HOSPITAL DR, Everett, PA 15537
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Other Identifiers 3

Medicaid0016242330004PA
Medicare UPINU01471PA
Medicare ID-Type Unspecified172508PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

William Blaine Shuke 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 ID1658551254
PECOS Enrollment IDI20110215000425
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 8

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 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.
262 services249 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
255 services130 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).
150 services76 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.
103 services95 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.
98 services49 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.
28 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15537 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.

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
99%70 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
72%43 patients2/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
10%210 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
7%2,524 patients1/55-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
81%286 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
72%210 patients3/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
2%1,750 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%2,524 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
2%2,524 patients
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 4

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

NANCY KENNEY
Internal Medicine (Geriatric Medicine)
311 HOSPITAL DR, SUITE 2
EVERETT, PA 15537
Bedford County (814) 623-7855
KAITLYN ELIZABETH ZEMBOWER OD
Optometrist
311 HOSPITAL DR
EVERETT, PA 15537
Bedford County (814) 623-1969
PENNWOOD OPHTHALMIC ASSOCIATES, PC
Ophthalmology
311 HOSPITAL DR
EVERETT, PA 15537
Bedford County (814) 623-1969
MRS. KATHERINE CORMAN ERLICHMAN D.O.
Ophthalmology
311 HOSPITAL DR
EVERETT, PA 15537
Bedford County (814) 623-1969

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 William Shuke's NPI number?

The NPI number for William Shuke is 1659477339. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is William Shuke located?

William Shuke practices at 311 Hospital Dr, Everett, PA 15537. The listed phone number is (814) 623-1969.

What is William Shuke's specialty?

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

Is William Shuke enrolled in Medicare?

Yes. William Shuke 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 William Shuke accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list William Shuke 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 William Shuke was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.