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DR. JOHN PATRICK SHELDON OD
NPI 1952596835
Optometrist in Marathon, FL

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
6400 OVERSEAS HWY, MARATHON, FL 33050(205) 743-2020(305) 743-3937 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Patrick Sheldon Od NPPES

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

DR. JOHN PATRICK SHELDON OD (NPI 1952596835) is an individual optometrist in Marathon, Florida, licensed in Florida (OPC 3277) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1952596835
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN PATRICK SHELDONCredential: OD
Location Address6400 OVERSEAS HWYMarathon, FL 33050-2786
Mailing Address6400 Overseas HwyMarathon, FL 33050-2786 · (205) 743-2020 · Fax (305) 743-3937
Phone(205) 743-2020
Fax(305) 743-3937
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 13, 2007
Last NPPES UpdateOctober 22, 2007
✔ NPI 1952596835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC 3277
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.
6400 OVERSEAS HWY, Marathon, FL 33050
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Other Identifiers 2

Other20945FL · Bcbs Pin
Medicare PINE4124AFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. John Patrick Sheldon 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 ID5890710859
PECOS Enrollment IDI20051013000824
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 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.
181 services177 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.
116 services116 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.
81 services58 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.
58 services37 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
54 services54 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.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33050 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Other Providers at the Same Location NPPES 2

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

JOHN P SHELDON OD PA
Optometrist
6400 OVERSEAS HWY
MARATHON, FL 33050
Monroe County (305) 743-2020
NICHOLAS ALBERT TOMAN M.S., LMHC
Counselor (Mental Health)
6400 OVERSEAS HWY
MARATHON, FL 33050
Monroe County (305) 395-2430

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 John Sheldon's NPI number?

The NPI number for John Sheldon is 1952596835. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is John Sheldon located?

John Sheldon practices at 6400 Overseas Hwy, Marathon, FL 33050. The listed phone number is (205) 743-2020.

What is John Sheldon's specialty?

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

Is John Sheldon enrolled in Medicare?

Yes. John Sheldon 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.

What insurance does John Sheldon accept?

Health plans from BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list John Sheldon 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 John Sheldon was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.