Karen Shimshak, MD
NPI 1407931769 · Ophthalmology Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Shimshak, MD is a Ophthalmology Physician provider in Jacksonville, FL (NPI 1407931769).
Provider details
- NPI number
- 1407931769
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME122759 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
343 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 122 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 73 | $124 |
| Removal of Chronic Growth of Eyelid67800 | 25 | $124 |
| Imaging of Retina92134 | 22 | $38 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 20 | $106 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Erythromycin Basebrand: Erythromycin | 54 | 47 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 22 | 20 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 4500 San Pablo Rd SJacksonville, FL 32224-1865Phone: (904) 953-2000
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2020-09-02
- Certified
- 2020-09-02
Frequently asked questions
- What is Karen Shimshak's NPI number?
- Karen Shimshak's National Provider Identifier (NPI) is 1407931769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Shimshak's specialty?
- Karen Shimshak is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Shimshak located?
- Karen Shimshak's practice location on file with NPPES is 807 Childrens Way, Jacksonville, FL 32207-8426.
- What is Karen Shimshak's phone number?
- The practice phone number listed in the NPPES registry for Karen Shimshak is (904) 697-3600.
- Does Karen Shimshak accept Medicare?
- Karen Shimshak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Shimshak's NPI active?
- Yes — Karen Shimshak's NPI (1407931769) is active in the NPPES registry as of the last update on 2020-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.