LEE SHETTLE DO PA
NPI 1780981779
Ophthalmology in Largo, FL
About Lee Shettle Do Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEE SHETTLE DO PA (NPI 1780981779) is a healthcare organization registered as an ophthalmology in Largo, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Philip Lee Shettle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lee Shettle Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lee Shettle Do PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1040807
Lee Shettle Do PA · Largo, FLFrequently 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 Lee Shettle Do PA's NPI number?
The NPI number for Lee Shettle Do PA is 1780981779. It was assigned to this organization in the NPPES registry on February 28, 2011.
Where is Lee Shettle Do PA located?
Lee Shettle Do PA is located at 13113 66th St N, Largo, FL 33773. The listed phone number is (727) 674-2500.
What is Lee Shettle Do PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Lee Shettle Do PA enrolled in Medicare?
Yes. Lee Shettle Do PA is registered in the Medicare PECOS enrollment system.
When is Lee Shettle Do PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lee Shettle Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Lee Shettle Do PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lee Shettle Do PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1040807) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lee Shettle Do PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Lee Shettle Do PA 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 Lee Shettle Do PA was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lee Shettle Do Pa · NPI 1780981779
Ophthalmology organization in Largo, Florida. Organization record, active in the CMS NPPES registry since February 28, 2011.
## Identity
- **NPI:** 1780981779 (Entity type: Organization)
- **Enumerated:** February 28, 2011
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Philip Shettle, OWNER
## Practice location
- **Address:** 13113 66TH ST N, Largo, FL 33773-1812
- **Phone:** (727) 674-2500 · **Fax:** (727) 674-2550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2020
- **Other identifiers:** Other 180045006 (FL); Medicaid 378381200 (FL); Other 80884 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780981779) · Data from the CMS NPPES public registry.