SHEILA KAY BOGART OD
NPI 1902859812
Optometrist in Crown Point, IN

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
321 N MAIN ST, CROWN POINT, IN 46307(219) 663-5960(219) 663-2398 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2024, Feb 5, 2024, Nov 2, 2023 and 1 more (4 updates tracked since 2018).

About Sheila Kay Bogart Od NPPES

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

SHEILA KAY BOGART OD (NPI 1902859812) is an individual optometrist in Crown Point, Indiana, licensed in Indiana (18002529B) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1991).

NPPES Registry Identity

NPI1902859812
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHEILA KAY BOGARTCredential: OD
Location Address321 N MAIN STCrown Point, IN 46307
Mailing Address1447 Edgewater RdCrown Point, IN 46307-8255 · (219) 662-3848
Fax(219) 663-2398
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1991
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1902859812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IN · 18002529B✔ Licensed in PA · OEG004111✔ Licensed in IN · 18002529A✔ Licensed in WI · 2413-35
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.
321 N MAIN ST, Crown Point, IN 46307

Accepted Insurance

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

Sheila Kay Bogart Od 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 ID8527166305
PECOS Enrollment IDI20240110000467, I20250529003859
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

23

Medicare enrollment records show Sheila Bogart reassigns Medicare billing to 23 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
321 N MAIN ST
Crown Point, IN 46307
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Midwest Eye Consultants PC
  • 103 clinicians in this Medicare group
Optometrist
1184 N MAIN ST
Crown Point, IN 46307
  • Reassigned Medicare billing, Indiana enrollment
  • 162 clinicians in this Medicare group
Optometrist
6502 GRAPE RD
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
Optometrist
5725 75TH ST
Kenosha, WI 53142
  • Reassigned Medicare billing, Wisconsin enrollment
  • 64 clinicians in this Medicare group
Eyewear Supplier
6935 75TH ST
Kenosha, WI 53142
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
Optometrist
2305 30TH AVE
Kenosha, WI 53144
  • Reassigned Medicare billing, Wisconsin enrollment
  • 102 clinicians in this Medicare group
Optometrist
4000 N OAKLAND AVE
Shorewood, WI 53211
  • Reassigned Medicare billing, Wisconsin, Pennsylvania and Missouri enrollments
  • Also billed through NPI 1063579837 (Pennsylvania), NPI 1649203308 (Missouri)
  • 80 clinicians in this Medicare group
Optometrist
5283 CORNERSTONE NORTH BLVD
Centerville, OH 45440
  • Reassigned Medicare billing, Kentucky enrollment
  • 53 clinicians in this Medicare group
Optometrist
26140 INGERSOL DR
Novi, MI 48375
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 51 clinicians in this Medicare group
Optometrist
614 BUTTERMILK PIKE
Fort Mitchell, KY 41017
  • Reassigned Medicare billing, Indiana enrollment
  • 20 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%33 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.

Optometrist
321 N MAIN ST
CROWN POINT, IN 46307
Optometrist
321 N MAIN ST
CROWN POINT, IN 46307
Optometrist
321 N MAIN ST
CROWN POINT, IN 46307

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 Sheila Bogart's NPI number?

The NPI number for Sheila Bogart is 1902859812. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Sheila Bogart located?

Sheila Bogart practices at 321 N Main St, Crown Point, IN 46307. The listed phone number is (219) 663-5960.

What is Sheila Bogart's specialty?

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

Is Sheila Bogart enrolled in Medicare?

Yes. Sheila Bogart 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 Sheila Bogart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Bogart reassigns Medicare benefits to 23 organizations: Midwest Eye Consultants P.C. (Crown Point, IN), Myeyedr Optometry Of Indiana, LLC (Crown Point, IN), Family First Vision Care Indiana LLC (Mishawaka, IN), Wisconsin Vision, LLC (Kenosha, WI), Shoptikal LLC (Kenosha, WI) and 18 more organizations, listed in the Medicare section above. 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 Sheila Bogart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Bogart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Aspirus Health Plan and 22 other insurers list Sheila Bogart 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 Sheila Bogart was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.