PHILIP LEE SHETTLE D.O. NPI 1023016243

NPI Information

  • NPI: 1023016243
  • Provider Name: PHILIP LEE SHETTLE, D.O.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13113 66TH ST
    LARGO, FL
    ZIP 33773
  • Phone: (727) 674-2500

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NPI Details

Philip Lee Shettle, D.O. is an ophthalmology in Largo, FL with 38 years of experience. The provider is 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. Philip Lee Shettle, D.O. NPI is 1023016243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13113 66TH ST
LARGO, FL
ZIP 33773-812
Phone: (727) 674-2500
Fax: (727) 674-2550

The NPI 1023016243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Imaging of optic nerve (HCPCS:92133)
  • New patient complete exam of visual system (HCPCS:92004)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Imaging of retina (HCPCS:92134)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Photography of the retina (HCPCS:92250)
  • Measurement of retinal and optic nerve function (HCPCS:92273)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 7/12/2005 and was last updated on 12/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology32591COLORADONo
2207W00000XOphthalmology5101010879MICHIGANNo
3207W00000XOphthalmologyOS 6621FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1378381200MEDICAIDFLORIDA
280884OTHERFLORIDABCBS OF FLORIDA
3180045006OTHERFLORIDARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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