TODD E SHOLEY O.D.
NPI 1770570970
Optometrist in Rock Springs, WY

Q: What is Todd Sholey's NPI number?

The NPI number for Todd Sholey is 1770570970. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Q: What is Todd Sholey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Todd Sholey was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 03, 2005PECOS EnrolledAccepts Medicare Assignment

80.24/100

CMS Quality Rating

544 BROADWAY ST, ROCK SPRINGS, WY 82901(307) 382-3937(307) 382-2918 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Todd E Sholey O.d. NPPES

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

TODD E SHOLEY O.D. (NPI 1770570970) is an individual optometrist in Rock Springs, Wyoming, licensed in Wyoming (205T) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1992).

NPPES Registry Identity

NPI1770570970

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTODD E SHOLEYCredential: O.D.

Location Address544 BROADWAY STRock Springs, WY 82901-6346

Mailing Address544 Broadway StRock Springs, WY 82901-6346 · (307) 382-3937 · Fax (307) 382-2918

Phone(307) 382-3937

Fax(307) 382-2918

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 1992

Enumeration DateOctober 3, 2005

Last NPPES UpdateMay 2, 2008

✔ NPI 1770570970 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 WY · 205T

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.

544 BROADWAY ST, Rock Springs, WY 82901

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Other Identifiers 5

Medicare NSC4978190001WY

Medicare PIN410036453WY

Medicare PINW307685WY

Medicare UPINU32368WY

Medicaid103246100WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan, University of Utah Health Plans.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

Todd E Sholey 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 ID6002925724

PECOS Enrollment IDI20120105000680

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 4

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.

84 services84 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.

81 services78 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.

48 services42 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.

39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 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

$129.37 typical visit price

range $56.42 – $170.72

Typical copayment $32.34 (range $14.10 – $42.68)

Most-billed visit code 99204

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

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.

80.24/100

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

Individually scored

Quality

67.34

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

100%68 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

57%566 patients2/55-star benchmark: 100%

e-Prescribing

100%47 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

95%21 patients

Provide Patients Electronic Access to Their Health Information

93%348 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 236 patients

Patients totalRate: 0% · 236 patients

0%236 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.

HELEN D KIM-SHOLEY O. D.

Optometrist

544 BROADWAY ST
ROCK SPRINGS, WY 82901

Sweetwater County (307) 382-3937

FAMILY VISION CLINIC, PC

Optometrist

544 BROADWAY ST
ROCK SPRINGS, WY 82901

Sweetwater County (307) 382-3937

DR. RICHARD P CANESTRINI O.D.

Optometrist

544 BROADWAY ST
ROCK SPRINGS, WY 82901

Sweetwater County (307) 382-3937

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 Todd Sholey's NPI number?

The NPI number for Todd Sholey is 1770570970. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Todd Sholey located?

Todd Sholey practices at 544 Broadway St, Rock Springs, WY 82901. The listed phone number is (307) 382-3937.

What is Todd Sholey's specialty?

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

Is Todd Sholey enrolled in Medicare?

Yes. Todd Sholey 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 Todd Sholey accept?

Health plans from Blue Cross Blue Shield of Wyoming, Providence Health Plan and University of Utah Health Plans list Todd Sholey 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 Todd Sholey was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.