DR. SHARON M THEODORE M.D.
NPI 1831145739
Ophthalmology in Pismo Beach, CA

Q: What is Sharon Theodore's NPI number?

The NPI number for Sharon Theodore is 1831145739. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Dr. Sharon Mccaffery M.D..

Q: What is Sharon Theodore'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 Sharon Theodore was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 25, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

300 JAMES WAY STE 150, PISMO BEACH, CA 93449(805) 876-3050(805) 876-3052 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2020, Apr 10, 2019, Mar 13, 2019 (3 updates tracked since 2019).

On this page

About Dr. Sharon M Theodore M.d. NPPES

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

DR. SHARON M THEODORE M.D. (NPI 1831145739) is an individual ophthalmology provider in Pismo Beach, California, licensed in California (A91327) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Luis Obispo, and is a graduate of University Of California, San Francisco School Of Medicine (2000).

NPPES Registry Identity

NPI1831145739

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. SHARON M THEODORECredential: M.D.

Location Address300 JAMES WAY STE 150Pismo Beach, CA 93449-2874

Mailing Address300 James Way Ste 150Pismo Beach, CA 93449-2874 · (805) 876-3050 · Fax (805) 876-3052

Phone(805) 876-3050

Fax(805) 876-3052

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2000

Enumeration DateMay 25, 2006

Last NPPES UpdateMarch 16, 20223 updates tracked since enumeration

NPPES CertifiedMarch 14, 2022

✔ NPI 1831145739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A91327

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.

300 JAMES WAY STE 150, Pismo Beach, CA 93449

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Other Names 1

Former Name (1)Dr. Sharon Mccaffery M.d.

Secondary Practice Location 1

Location 1689 Tank Farm Rd Ste 100San Luis Obispo, CA 93401-7078 · Phone (805) 781-3937 · Fax (805) 781-9013

Other Identifiers 1

Medicaid00 A913270CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sharon M Theodore M.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 ID3476598889

PECOS Enrollment IDI20050627000544

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.

Medicare Billing Reassignments

Medicare enrollment records show Sharon Theodore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Coast Eye, Inc., A Professional Medical Corporation

11 mi

Retina Specialist

628 CALIFORNIA BLVD STE C
San Luis Obispo, CA 93401

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1992228795 (805) 547-2090

Sani Eye Center Inc.

29 mi

Ophthalmology

1315 LAS TABLAS RD
Templeton, CA 93465

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1407056591 (805) 434-2533

California Retina Associates, LP

268 mi

Ophthalmology

835 3RD AVE, SUITE A
Chula Vista, CA 91911

Reassigned Medicare billing, California enrollment
25 clinicians in this Medicare group

NPI 1114033404 (619) 425-7755

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

835 services296 patients

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.

470 services252 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

374 services38 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.

370 services141 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

339 services63 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

94 services32 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.

69 services69 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.

64 services62 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).

62 services48 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

62 services59 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.

55 services52 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

55 services42 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

44 services43 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

43 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$74.24 typical visit price

range $19.70 – $146.55

Typical copayment $18.56 (range $4.92 – $36.63)

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

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 Sharon Theodore's NPI number?

The NPI number for Sharon Theodore is 1831145739. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Dr. Sharon Mccaffery M.D..

Where is Sharon Theodore located?

Sharon Theodore practices at 300 James Way Ste 150, Pismo Beach, CA 93449. The listed phone number is (805) 876-3050.

What is Sharon Theodore's specialty?

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

Is Sharon Theodore enrolled in Medicare?

Yes. Sharon Theodore 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.

Which organizations bill Medicare for Sharon Theodore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Theodore reassigns Medicare benefits to 3 organizations: Central Coast Eye, Inc., A Professional Medical Corporation (San Luis Obispo, CA), Sani Eye Center Inc. (Templeton, CA) and California Retina Associates, LP (Chula Vista, CA). Each 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 Sharon Theodore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sharon Theodore was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.