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DR. PHILIP C. SHEILS M.D.
NPI 1861446460
Ophthalmology in Rochester, NY

Active since May 19, 2006PECOS Enrolled
95.19/100
CMS Quality Rating
10 HAGEN DR, SUITE 220, ROCHESTER, NY 14625(585) 586-2020(585) 586-2099 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Philip C. Sheils M.d. NPPES

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

DR. PHILIP C. SHEILS M.D. (NPI 1861446460) is an individual ophthalmology provider in Rochester, New York, licensed in New York (178159) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1985).

NPPES Registry Identity

NPI1861446460
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PHILIP C. SHEILSCredential: M.D.
Location Address10 HAGEN DR, SUITE 220Rochester, NY 14625-2660
Mailing Address10 Hagen Dr, Suite 220Rochester, NY 14625-2660 · (585) 586-2020 · Fax (585) 586-2099
Phone(585) 586-2020
Fax(585) 586-2099
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1985
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 10, 2007
✔ NPI 1861446460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 178159
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.
10 HAGEN DR, Rochester, NY 14625
Open in Google Maps ↗

Other Identifiers 7

Other0143NY · Excellus
Other102589CRNY · Preferred Care
Other5322318NY · Aetna
Other1781590NY · Workers Compensation
Medicare UPING41733NY
Medicare ID-Type Unspecified14169CNY
Medicaid01150210NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip C. Sheils M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901701481
PECOS Enrollment IDI20050202000495
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 Reassignment

Medicare enrollment records show Philip Sheils reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rochester General Hospital
4.2 mi
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1760557656 (585) 922-3150

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 7

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.
188 services181 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).
70 services69 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.
50 services47 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
46 services35 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.
33 services12 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
21 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14625 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

ON NUTRITION, PLLC
Dietitian, Registered
10 HAGEN DR, SUITE 200
ROCHESTER, NY 14625
Monroe County (585) 770-1045
SLEEP INSIGHTS MANAGEMENT SERVICES,LLC
Psychiatry & Neurology (Sleep Medicine)
10 HAGEN DR, SUITE 120
ROCHESTER, NY 14625
Monroe County (585) 385-6070
GENEVA MODRAK CRNA
Nurse Anesthetist, Certified Registered
10 HAGEN DR
ROCHESTER, NY 14625
Monroe County (585) 367-8200
BRIAN ROBERT SHULL RPA-C
Physician Assistant (Medical)
10 HAGEN DR, STE 350
ROCHESTER, NY 14625
Monroe County (585) 385-5555
DEBBIE L METZGER CRNA
Nurse Anesthetist, Certified Registered
10 HAGEN DR
ROCHESTER, NY 14625
Monroe County (585) 267-8200
UNITY LINDEN OAKS SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
10 HAGEN DR, SUITE 110
ROCHESTER, NY 14625
Monroe County (585) 267-8200
KIMBERLY A CHASE O.T.
Specialist
10 HAGEN DR, SUITE, 210
ROCHESTER, NY 14625
Monroe County (585) 641-0141
CAROL SZYMCZAK PLOTKIN M.S., R.D.
Dietitian, Registered
10 HAGEN DR, 200
ROCHESTER, NY 14625
Monroe County (585) 770-1045

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 Philip Sheils's NPI number?

The NPI number for Philip Sheils is 1861446460. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Philip Sheils located?

Philip Sheils practices at 10 Hagen Dr Suite 220, Rochester, NY 14625. The listed phone number is (585) 586-2020.

What is Philip Sheils's specialty?

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

Is Philip Sheils enrolled in Medicare?

Yes. Philip Sheils is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Sheils's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Sheils reassigns Medicare benefits to Rochester General Hospital (Rochester, NY). The 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 Philip Sheils'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 Philip Sheils was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.