Individual provider Active NPI

Shawn L Palmer, M.D.

  • Ophthalmology Physician
  • Folsom, CA
National Provider Identifier
1700801016
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G66126 Issued in CA
Practice address
2160 E Bidwell St
Folsom, CA 95630-6453
Phone
(916) 983-9823
Fax
(916) 983-9623
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G66126 CA Primary

Addresses

Primary practice location

2160 E Bidwell St
Folsom, CA 95630-6453

Mailing address

2160 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 983-9823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060310000156 CA Practitioner - OphthalmologyPractitioner - General Practice 0749297141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Site Sacramento Medical Group Inc.Group PAC ID 1951203504, 7 clinicians

Practice addresses (Care Compare)

4925 J St
Sacramento, CA 95819-3828
Phone 9164528105214

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
58.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66126CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Site Sacramento Medical Group, Inc Current Accepting new patients
Eye Site Sacramento Medical Group, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2160 E Bidwell St
Folsom, CA 95630
Phone (916) 983-9823

4925 J St
Sacramento, CA 95819
Phone (916) 452-8105

Interoperability endpoints

  • Direct secure messaging: spalmer294280@hisp.ehr.sutterhealth.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1700801016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-983-9823",
            "fax_number": "916-983-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-983-9823",
            "fax_number": "916-983-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SHAWN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G66126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.