JERRY R SHIELDS MD
NPI 1720090699
Ophthalmology in Puyallup, WA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
1703 S. MERIDIAN, SUITE 101, PUYALLUP, WA 98371(253) 848-3000(253) 840-6514 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry R Shields Md NPPES

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

JERRY R SHIELDS MD (NPI 1720090699) is an individual ophthalmology provider in Puyallup, Washington, licensed in Washington (MD00039681) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1997).

NPPES Registry Identity

NPI1720090699
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJERRY R SHIELDSCredential: MD
Location Address1703 S. MERIDIAN, SUITE 101Puyallup, WA 98371
Mailing Address1703 S. Meridian, Suite 101Puyallup, WA 98371 · (253) 848-3000 · Fax (253) 840-6514
Fax(253) 840-6514
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1997
Enumeration DateAugust 12, 2006
Last NPPES UpdateJanuary 20, 2011
NPI 1720090699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WA · MD00039681
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.
1703 S. MERIDIAN, Puyallup, WA 98371

Other Identifiers 3

Medicare ID-Type UnspecifiedAB22862WA
Medicare UPINH41353
Medicaid8280638WA

Accepted 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

Jerry R Shields Md 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 ID3173414703
PECOS Enrollment IDI20051123000358
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 10

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.
390 services236 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.
226 services97 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.
131 services79 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.
90 services83 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.
71 services71 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.
61 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98371 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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

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

Ophthalmology
1703 S. MERIDIAN, SUITE 101
PUYALLUP, WA 98371

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 Jerry Shields's NPI number?

The NPI number for Jerry Shields is 1720090699. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Jerry Shields located?

Jerry Shields practices at 1703 S. Meridian Suite 101, Puyallup, WA 98371. The listed phone number is (253) 848-3000.

What is Jerry Shields's specialty?

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

Is Jerry Shields enrolled in Medicare?

Yes. Jerry Shields 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 Jerry Shields accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jerry Shields 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 Jerry Shields was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.