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DR. SHIRLIE ANTOINETTE DOWD HERBST OD
NPI 1720176266
Optometrist in Dover, NH

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
65 BELKNAP ST, DOVER, NH 03820(603) 742-5719(603) 743-5811 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shirlie Antoinette Dowd Herbst Od NPPES

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

DR. SHIRLIE ANTOINETTE DOWD HERBST OD (NPI 1720176266) is an individual optometrist in Dover, New Hampshire, licensed in New Hampshire (829) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2005).

NPPES Registry Identity

NPI1720176266
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHIRLIE ANTOINETTE DOWD HERBSTCredential: OD
Location Address65 BELKNAP STDover, NH 03820
Mailing Address65 Belknap StDover, NH 03820-3643 · (603) 742-5719 · Fax (603) 743-5811
Phone(603) 742-5719
Fax(603) 743-5811
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2005
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 9, 2018
✔ NPI 1720176266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NH · 829✔ Licensed in MA · 4735
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.
65 BELKNAP ST, Dover, NH 03820
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Dr. Shirlie Antoinette Dowd Herbst Od 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 ID42306896
PECOS Enrollment IDI20091019000214
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 6

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 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.
124 services124 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.
89 services63 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).
54 services35 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.
33 services22 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.
25 services25 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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%127 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,969 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
91%23 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 261 patients
0%261 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.

Other Providers at the Same Location NPPES 3

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

DOVER EYE CARE, PC
Optometrist
65 BELKNAP ST
DOVER, NH 03820
Strafford County (603) 742-5719
NORMAN P MENARD PA.
Optometrist
65 BELKNAP ST
DOVER, NH 03820
Strafford County (603) 742-5719
DR. NORMAN P MENARD OD
Optometrist
65 BELKNAP ST
DOVER, NH 03820
Strafford County (603) 742-5719

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 Shirlie Dowd Herbst's NPI number?

The NPI number for Shirlie Dowd Herbst is 1720176266. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Shirlie Dowd Herbst located?

Shirlie Dowd Herbst practices at 65 Belknap St, Dover, NH 03820. The listed phone number is (603) 742-5719.

What is Shirlie Dowd Herbst's specialty?

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

Is Shirlie Dowd Herbst enrolled in Medicare?

Yes. Shirlie Dowd Herbst 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 Shirlie Dowd Herbst accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Shirlie Dowd Herbst 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 Shirlie Dowd Herbst was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.