DR. IRA A SHIVITZ MD
NPI 1881690766
Ophthalmology in Nashville, TN

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
335 24TH AVE N STE 600, NASHVILLE, TN 37203(615) 320-7200(615) 320-7203 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 19, 2024, Jun 17, 2024, May 9, 2024 and 1 more (4 updates tracked since 2020).

About Dr. Ira A Shivitz Md NPPES

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

DR. IRA A SHIVITZ MD (NPI 1881690766) is an individual ophthalmology provider in Nashville, Tennessee, licensed in Tennessee (MD15763) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1978).

NPPES Registry Identity

NPI1881690766
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. IRA A SHIVITZCredential: MD
Location Address335 24TH AVE N STE 600Nashville, TN 37203-1503
Mailing Address335 24th Ave N Ste 600Nashville, TN 37203-1503 · (615) 320-7200 · Fax (615) 320-7203
Fax(615) 320-7203
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1978
Enumeration DateJune 24, 2005
Last NPPES UpdateDecember 19, 20244 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1881690766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · MD15763
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.

Also ListedSpecialistTaxonomy 174400000X · License 15763 (TN)
335 24TH AVE N STE 600, Nashville, TN 37203

Other Identifiers 12

Other621745543TN · Humana
Other0627781TN · Cigna
Other0840173TN · United Healthcare
Other00001364TN · Nhc Health Benefit Plan
Other2150030TN · Aetna
Other3126360TN · Tenncare Select
Other3126360TN · Accordia Of Lexington
Medicaid3717165TN
OtherB58858TN · Healthspring
Other180036789TN · Rail Road Medicare
Other3126360TN · Bcbs
Other621745543000TN · Prudential

Accepted 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. Ira A Shivitz Md 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 ID3274581624
PECOS Enrollment IDI20101028000750
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 15

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 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.
780 services741 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.
669 services302 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.
543 services492 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).
303 services244 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.
229 services211 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
137 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%335 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
92%50 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
90%371 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%70 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 1,165 patients
Patients screened: 99% · 1,165 patients
64%58 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%250 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,806 patients
Patients totalRate: 0% · 1,806 patients
0%1,806 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 5

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

Ophthalmology (Glaucoma Specialist)
335 24TH AVE N STE 600
NASHVILLE, TN 37203
Ophthalmology
335 24TH AVE N STE 600
NASHVILLE, TN 37203
Ophthalmology
335 24TH AVE N STE 600
NASHVILLE, TN 37203
Ophthalmology
335 24TH AVE N STE 600
NASHVILLE, TN 37203
Ophthalmology
335 24TH AVE N STE 600
NASHVILLE, TN 37203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881690766, enumerated as an "individual" on June 24, 2005.

The provider is located at 335 24TH AVE N STE 600 NASHVILLE, TN 37203 and the phone number is (615) 320-7200.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Oscar Insurance. Please consult your insurance carrier or call the provider to verify.