Clinton R. Shoultz, O.D.
NPI 1619912599ActiveIndividual· Optometrist· Petersburg, IN
Optometrist (O.D.) in Petersburg, Indiana, trained at Indiana University - School of Optometry (class of 2001). Their prescriptions cost Medicare Part D more than their services did: $80,689 for 317 claims, against $32,252 paid for services in 2024. Alcon Vision LLC reported $23.54 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1619912599 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jun 17, 2006 |
| Last updated in NPPES | Feb 8, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 18003125A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 289 |
|---|---|
| Services billed | 559 across 14 procedure codes |
| Paid by Medicare | $32,252 |
Part D prescriptions in 2024
| Prescriptions (claims) | 317 · 629 30-day fills |
|---|---|
| Patients | 79 |
| Total drug cost | $80,689 |
| Generic share | 60% of claims |
Education and affiliations
| Medical school | Indiana University - School of Optometry |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
- 2025$23.54 · 1 payment from 1 company
- 2024$13.64 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $23.54 | 1 |
What the 2025 payments were for
- Food and Beverage$23.54 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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