John Michael Shields, O.D.
Optometrist (O.D.) in Lower Burrell, Pennsylvania, licensed in PA, with an NPI issued in July 2010. Their prescriptions cost Medicare Part D more than their services did: $35,119 for 342 claims, against $17,279 paid for services in 2024. Coopervision Inc. reported $23.54 in payments in 2024, mostly food and beverage. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1013229418 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 14, 2010 |
| Last updated in NPPES | Jun 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OEG002370 | PA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Pennsylvania, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | John C. Shields · Employee | 1128a1 | Jul 18, 2002 | Pittsburgh, PA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 345 across 8 procedure codes |
| Paid by Medicare | $17,279 |
Part D prescriptions in 2024
| Prescriptions (claims) | 342 · 747 30-day fills |
|---|---|
| Patients | 129 |
| Total drug cost | $35,119 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Optometry |
Industry payments (Open Payments)
- 2024$23.54 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $23.54 | 1 |
What the 2024 payments were for
- Food and Beverage$23.54 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Lower Burrell
- 1497434112
- 1710378427
- 1578887931
- 1346591658
- 1649269374
- 1508075045
- 1871551556
- 1710965264