Physician

Marc Douglas Shields, MD

According to 2025 Medicare claims, Marc Shields, MD (NPI: 1265435226) practices ophthalmology in the Staunton-Stuarts Draft, VA market, with the plurality of this provider's patient population coming from Staunton City, VA. This provider's primary affiliated billing organization is EYE ONE, PLC (NPI: 1982613576; TIN: 541738160) and primary practice location at 24401-9032. Shields is affiliated with the Augusta Care Partners, LLC (ACO ID: A2266), participating under the MSSP model.

Shields' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,897 traditional Medicare patients, billed 5,938 HCPCS/CPT codes, and received $313,131 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 1,677 prescription claims across 623 beneficiaries totaling $39,241 in drug costs, led by Latanoprost (Latanoprost). Open Payments data shows 12 records totaling $190. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Similarly, Part D prescription costs have changed little. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,772	5,366	$330,721
2016	1,857	5,905	$336,509
2017	1,962	5,932	$354,764
2018	2,036	5,960	$358,674
2019	2,024	5,923	$377,361
2020	1,832	4,770	$279,660
2021	1,967	5,754	$327,200
2022	1,932	5,658	$318,485
2023	1,865	5,357	$299,958
2024	1,897	5,938	$313,131

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	349	1,009	$43,727
2016	355	1,026	$48,201
2017	442	1,201	$52,057
2018	401	1,239	$56,904
2019	471	1,397	$59,109
2020	438	1,260	$55,153
2021	530	1,545	$56,227
2022	530	1,563	$40,373
2023	516	1,522	$53,651
2024	623	1,677	$39,241

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
92014	Established patient complete exam of visual system	1,136	1,179	$78
92012	Established patient problem focused exam of visual system	380	442	$61
92083	Exam of visual field with extended testing	291	307	$45
92133	Imaging of optic nerve	244	252	$24
92285	Photography of content of eyes	248	265	$16

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Latanoprost	Latanoprost	837	47,272	$7,159
Erythromycin	Erythromycin Base	386	4,998	$3,351
Brinzolamide	Brinzolamide	15	760	$3,112
Prednisolone Acetate	Prednisolone Acetate	22	969	$2,038
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	64	3,684	$1,452

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$190	Amgen Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Marc Douglas Shields, MD?

Tedicare shows public-source Medicare data for Marc Douglas Shields, MD (NPI 1265435226), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Marc Douglas Shields, MD have ACO affiliation data?

Marc Douglas Shields, MD is shown with ACO affiliation data for Augusta Care Partners, LLC (MSSP, ACO ID A2266).

What billing organization is linked to Marc Douglas Shields, MD?

Marc Douglas Shields, MD is linked to EYE ONE, PLC (billing NPI 1982613576) in the available physician profile data.

Does Marc Douglas Shields, MD have Open Payments data?

Marc Douglas Shields, MD has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.