What is Carol Shields's specialty?

Carol Shields (NPI 1578652988) is a Medicare-billing provider whose primary specialty is Ophthalmology in Philadelphia, PA.

Where does Carol Shields practice?

Carol Shields practices in Philadelphia, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1578652988.

How much does Medicare pay Carol Shields?

Carol Shields (NPI 1578652988) received approximately $636K in total Medicare Part B payments, serving 1,312 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1578652988

Carol ShieldsMD

PRACTICESHIELDS AND SHIELDS PCSee all providers at this practice →

OphthalmologyPhiladelphia, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

6,822

Unique beneficiaries

—

Total services

8,213

Distinct HCPCS

Medicare payment

$611K

Peer benchmark

Total Medicare services vs. 810 Ophthalmology providers in PA — top quintile (cohort median 1,854).

PRESCRIBING · PART D · 2024

Total Rx claims

579

Beneficiaries

—

Total drug cost

$7K

Distinct drugs

Brand share

72.4%

Top prescribed drugs

Neomycin/Polymyxin B/Dexametha262 claims

Atropine Sulfate97 claims

Ondansetron61 claims

Erythromycin Base60 claims

Lorazepam40 claims

QUALITY · MIPS · 2024

Final MIPS score

71.1

Quality

50.8

Cost

0.0

Improvement activities

40.0

Promoting interop.

94.0

Payment adjustment

-0.47%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Consulting Fee$1K

Food and Beverage$22

Top paying entities

Consulting Fee$1K

Food and Beverage$22

REFERRAL NETWORK

Where Carol Shields's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
TENET HEALTH SYSTEM HAHNEMANN, LLC	49	52
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	44	73
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	42	65
Lydia Komarnicky Radiation Oncology · Philadelphia, PA	39	136
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC	27	42
NPI 1356480289	11	12
Miriam Zentner Anesthesiology · Philadelphia, PA	11	11

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events