Individual provider Active NPI

Shelley Xinran Mo, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Lancaster, PA
National Provider Identifier
1265963458
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
MD473423 Issued in PA
Practice address
485 Royer Dr Ste 103
Lancaster, PA 17601-5102
Phone
(717) 560-4020
NPI assigned
Mar 21, 2017
Last updated
Jul 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD473423 PA Primary

Addresses

Primary practice location

485 Royer Dr Ste 103
Lancaster, PA 17601-5102

Mailing address

485 Royer Dr Ste 103
Lancaster, PA 17601-5102
Phone (717) 560-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520002288 PA Practitioner - Ophthalmology 1355697509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Lancaster LTDGroup PAC ID 9032108675, 7 clinicians

Practice addresses (Care Compare)

485 Royer Dr
Suite 103
Lancaster, PA 17601-5102
Phone (717) 560-4020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.09 of 100Reported as group
Quality
95.01
Improvement activities
40
Cost
76.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Lancaster LTD Ophthalmology CurrentSince Jul 5, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Edol Optical Inc PastSince Jul 5, 2022 Accepting new patients

Locations

485 Royer Dr
Ste 103
Lancaster, PA 17601
Phone (717) 560-4020

1400 Locust St
Ste 3103
Pittsburgh, PA 15219
Phone (412) 232-7219

203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1265963458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROYER DR STE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015102",
            "telephone_number": "717-560-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROYER DR STE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015102",
            "telephone_number": "717-560-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MO",
        "first_name": "SHELLEY",
        "middle_name": "XINRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD473423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.