NPPES file of Aug 9, 2026

Kenneth Trevor Shealy, O.D.

Optometrist · Tifton, GA

Kenneth Trevor Shealy, O.D. is an optometrist with a practice address in Tifton, Georgia, and NPI 1104436922, issued on Aug 6, 2020. Check the license (Georgia OPT003252, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104436922
Name
Kenneth Trevor Shealy
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License number
OPT003252 GA
Self-reported in NPPES; status is on the state search
Practice location
1803 Old Ocilla RD, Tifton, GA 31794
Phone
(229) 386-2181
Enumerated
Aug 6, 2020
Record last updated
Aug 23, 2024
Fax
(229) 386-2193
Medicare enrollment
Enrolled (PECOS I20201124003123); accepts Medicare assignment
Medical or professional school
Southern College Of Optometry, 2020
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1803 Old Ocilla RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Holme, M.D.Ophthalmology Physician1336150648
  2. Bret Wagenhorst, M.D.Ophthalmology Physician1841201134

Verify Kenneth Trevor Shealy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license OPT003252
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

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58% more Medicare Part D claims than the average optometrist in 2024

438 Medicare Part D claims for 165 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 31% of claims.

  1. Kenneth Shealy438
  2. Specialty average277

Most prescribed

  1. Latanoprost125 claims
  2. Erythromycin45 claims
  3. Lumigan29 claims
  4. Brimonidine Tartrate25 claims
  5. Dorzolamide-Timolol25 claims
  6. Travoprost21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%73.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Tift Regional Health System IncTifton, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth Trevor Shealy among 1,430 optometrist records in Georgia

Kenneth Trevor Shealy, O.D. is one of 1,430 optometrist records with a practice address in Georgia. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 84% of them.

  • NPI issued2020 · 84% of these records are older, 14% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated2020 · median 2007 among the 830 with a school on file
  • Record last updated2024 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in Georgia

There are 1,430 optometrist records in Georgia.

The 8 optometrist records with the nearest ZIP codes

  1. Anna Baker, O.D.Tifton, GA 317941972987394
  2. Ted McElroy, O.D.Tifton, GA 317941518959352
  3. Janine Nguyen, O.D.Tifton, GA 317941164506390
  4. Erin Shealy, ODTifton, GA 317941588308902
  5. Matthew Biedron, O.D.Thomasville, GA 317921346618956
  6. Jodie Norman, O.D.Thomasville, GA 317921497954374
  7. Michael Hopkins, O.D.Moultrie, GA 317881013938430
  8. Mary Mathias, O.D.Moultrie, GA 317881205939188

Common questions

What is Kenneth Trevor Shealy, O.D.'s NPI number?

Kenneth Trevor Shealy, O.D.'s National Provider Identifier (NPI) is 1104436922, issued on Aug 6, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth Trevor Shealy, O.D. located?

The NPPES record lists a practice address at 1803 Old Ocilla RD, Tifton, GA, 31794. Phone: (229) 386-2181. Providers update this record themselves, so call before visiting.

How can I verify Kenneth Trevor Shealy, O.D.'s license?

NPPES lists Georgia license number OPT003252, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

How much does Kenneth Trevor Shealy, O.D. prescribe under Medicare Part D?

In 2024, Kenneth Trevor Shealy, O.D. had 438 Medicare Part D claims for 165 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.

What is Kenneth Trevor Shealy, O.D.'s MIPS final score?

The 2023 MIPS final score is 76.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.