KATHRYN SHMUNES M.D.
NPI 1669855441
Ophthalmology in Jacksonville, FL

Q: What is Kathryn Shmunes's NPI number?

The NPI number for Kathryn Shmunes is 1669855441. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Q: What is Kathryn Shmunes'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 Kathryn Shmunes was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 30, 2015PECOS Enrolled

81.9/100

CMS Quality Rating

580 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-9390 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryn Shmunes M.d. NPPES

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

KATHRYN SHMUNES M.D. (NPI 1669855441) is an individual ophthalmology provider in Jacksonville, Florida, licensed in Florida (ME145693) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669855441

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameKATHRYN SHMUNESCredential: M.D.

Location Address580 W 8TH STJacksonville, FL 32209-6533

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-9390 · Fax (904) 244-3882

Phone(904) 244-9390

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 30, 2015

Last NPPES UpdateJuly 22, 2020

NPPES CertifiedJuly 22, 2020

✔ NPI 1669855441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME145693

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 ListedInternal MedicineTaxonomy 207R00000X · License 007694 (GA)

580 W 8TH ST, Jacksonville, FL 32209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Kathryn Shmunes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436449774

PECOS Enrollment IDI20200714002234

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 14

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.

326 services208 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.

282 services134 patients

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.

265 services244 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.

223 services149 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.

134 services85 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.

123 services111 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.

101 services86 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.

99 services99 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).

71 services64 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.

49 services49 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.

34 services26 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.

33 services21 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.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

81.9/100

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

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Cost

59.59

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. DUNBAR ALCINDOR M.D

Neurological Surgery

580 W 8TH ST, TOWER 1 -8TH FLOOR
JACKSONVILLE, FL 32209

Duval County (904) 244-9052

ALEX CAMERON WEAVER MD

Student in an Organized Health Care Education/Training Program

580 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 224-9394

DR. DANIEL LEWIS MD

Psychiatry & Neurology (Psychiatry)

580 W 8TH ST, SUITE 6005
JACKSONVILLE, FL 32209

Duval County (904) 244-9905

AMY MIDDLETON PURVIS

Physical Therapist

580 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (804) 244-9800

ELIZABETH RUELKE

Student in an Organized Health Care Education/Training Program

580 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-9905

DR. NARMADA MANNEM M.B.B.S.

Psychiatry & Neurology (Neurology)

580 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-9092

ELIZABETH J. KEANE PAC

Physician Assistant

580 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 383-1022

DR. RAJIV RAMAN

Ophthalmology

580 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-9390

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 Kathryn Shmunes's NPI number?

The NPI number for Kathryn Shmunes is 1669855441. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Kathryn Shmunes located?

Kathryn Shmunes practices at 580 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-9390.

What is Kathryn Shmunes's specialty?

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

Is Kathryn Shmunes enrolled in Medicare?

Yes. Kathryn Shmunes is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Shmunes accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Kathryn Shmunes 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 Kathryn Shmunes affiliated with any hospitals?

According to CMS data, Kathryn Shmunes is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Kathryn Shmunes was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.