Sharon Theodore, M.D.
NPI 1831145739 · Ophthalmology Physician · Pismo Beach, CA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sharon Theodore, M.D. is a Ophthalmology Physician provider in Pismo Beach, CA (NPI 1831145739).
Provider details
- NPI number
- 1831145739
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A91327 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 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
2,468 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) |
|---|---|---|
| Imaging of Retina92134 | 835 | $43 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 470 | $134 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 370 | $95 |
| Injection of Drug Into Eye67028 | 339 | $118 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 69 | $174 |
| Photography of the Retina92250 | 64 | $37 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 294 | 62 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 29 | — |
| Timolol Maleate | 23 | — |
| Ketorolac Tromethamine | 21 | 19 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 18 | 12 |
| Brimonidine Tartrate | 17 | — |
| Prednisolone Acetate | 12 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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)
- 689 Tank Farm Rd Ste 100San Luis Obispo, CA 93401-7078Phone: (805) 781-3937Fax: (805) 781-9013
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2022-03-16
- Certified
- 2022-03-14
Frequently asked questions
- What is Sharon Theodore's NPI number?
- Sharon Theodore's National Provider Identifier (NPI) is 1831145739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sharon Theodore's specialty?
- Sharon Theodore is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Sharon Theodore located?
- Sharon Theodore's practice location on file with NPPES is 300 James Way Ste 150, Pismo Beach, CA 93449-2874.
- What is Sharon Theodore's phone number?
- The practice phone number listed in the NPPES registry for Sharon Theodore is (805) 876-3050.
- Does Sharon Theodore accept Medicare?
- Sharon Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sharon Theodore's NPI active?
- Yes — Sharon Theodore's NPI (1831145739) is active in the NPPES registry as of the last update on 2022-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.