MICHAEL B. SHAPIRO M.D.
NPI 1669455044
Ophthalmology in Madison, WI

Q: What is Michael Shapiro's NPI number?

The NPI number for Michael Shapiro is 1669455044. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Michael Shapiro'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 Michael Shapiro was last updated on July 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

75.63/100

CMS Quality Rating

1200 JOHN Q HAMMONS DR, MADISON, WI 53717(608) 827-7705 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael B. Shapiro M.d. NPPES

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

MICHAEL B. SHAPIRO M.D. (NPI 1669455044) is an individual ophthalmology provider in Madison, Wisconsin, licensed in Wisconsin (24259) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1980).

NPPES Registry Identity

NPI1669455044

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMICHAEL B. SHAPIROCredential: M.D.

Location Address1200 JOHN Q HAMMONS DRMadison, WI 53717-1959

Mailing Address1200 John Q Hammons Dr Ste 100Madison, WI 53717-1967 · (608) 827-7705 · Fax (608) 827-6107

Phone(608) 827-7705

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1980

Enumeration DateNovember 21, 2005

Last NPPES UpdateJuly 28, 2023

NPPES CertifiedJuly 28, 2023

✔ NPI 1669455044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WI · 24259

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.

1200 JOHN Q HAMMONS DR, Madison, WI 53717

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Other Identifiers 1

Medicaid30616400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.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

Michael B. Shapiro 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 ID7719872738

PECOS Enrollment IDI20040226000079

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 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.

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.

309 services294 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.

284 services194 patients

Insertion of drug delivery implant into tear duct of eye 68841

This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.

275 services153 patients

Injection, bimatoprost, intracameral implant, 1 microgram J7351

This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.

220 services15 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.

191 services106 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.

162 services136 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.

145 services145 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.

120 services88 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.

105 services105 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.

99 services89 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.

83 services76 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.

82 services81 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.

82 services80 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

81 services48 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).

81 services77 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

74 services74 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.

50 services45 patients

Injection of medication into eye 66030

This procedure involves administering medication directly into your eye. A tiny needle is used to deliver the drug into the vitreous, a jelly-like substance in the eye. It helps treat conditions like macular degeneration or diabetic retinopathy. It's generally safe and effective.

24 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

75.63/100

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

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

18.77

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

100%58 patients5/55-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.

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Other Providers at the Same Location NPPES 9

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

KLOEHN ANESTHESIS SERVICE, LLC

Nurse Anesthetist, Certified Registered

1200 JOHN Q HAMMONS DR
MADISON, WI 53717

Dane County (608) 661-9655

DR. SHANNON E O'MAHAR MD

Internal Medicine (Hematology & Oncology)

1200 JOHN Q HAMMONS DR, SUITE 400
MADISON, WI 53717

Dane County (608) 410-2700

BRADLEY NATHANAEL LEMKE MD

Ophthalmology

1200 JOHN Q HAMMONS DR, STE 101
MADISON, WI 53717

Dane County (608) 829-7777

PETER A BEATTY MD

Internal Medicine (Hematology & Oncology)

1200 JOHN Q HAMMONS DR, DEAN HEMATOLOGY & ONCOLOGY CENTER
MADISON, WI 53717

Dane County (608) 410-2700

SARAH C. MOORE M.D.

Psychiatry & Neurology (Psychiatry)

1200 JOHN Q HAMMONS DR, DEAN MEDICAL CENTER
MADISON, WI 53717

Dane County (608) 410-2700

NOVAMED SURGERY CENTER OF MADISON, LIMITED PARTNERSHIP

Clinic/Center (Ambulatory Surgical)

1200 JOHN Q HAMMONS DR, SUITE 102
MADISON, WI 53717

Dane County (608) 827-5504

CHARLES ANDERSON M.D.

Ophthalmology

1200 JOHN Q HAMMONS DR
MADISON, WI 53717

Dane County (608) 827-7705

WHITE ANESTHESIA SERVICES, INC.

Nurse Anesthetist, Certified Registered

1200 JOHN Q HAMMONS DR
MADISON, WI 53717

Dane County (608) 827-5504

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 Michael Shapiro's NPI number?

The NPI number for Michael Shapiro is 1669455044. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Michael Shapiro located?

Michael Shapiro practices at 1200 John Q Hammons Dr, Madison, WI 53717. The listed phone number is (608) 827-7705.

What is Michael Shapiro's specialty?

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

Is Michael Shapiro enrolled in Medicare?

Yes. Michael Shapiro 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 Michael Shapiro accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Michael Shapiro 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 Michael Shapiro was last updated on July 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.