Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidTodd Shepler
    Ask Trek AI about this page

    Todd Shepler — Billing Profile & Reimbursement Data

    NPI 1568453447 · Cedar Park, TX · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Todd Shepler — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Todd Shepler is a ophthalmology physician provider located in Cedar Park, Texas. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTodd Shepler
    Address11901 W Parmer Ln
    CityCedar Park
    StateTX
    ZIP78613
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 31, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$214.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…110$640$69.9K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…300$120$34.4K
    67966The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…60$550$30.6K
    J0585Injection, onabotulinumtoxina, 1 unit4,720$10$23.6K
    68320The provider performs a surgical repair of the conjunctiva using the patient’s own conjunctival tissue as a graft or by rearranging the existing tissue. This procedure is done to treat a condition…40$340$12.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…140$90$12.4K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.50$120$5.8K
    68700The provider repairs a laceration of the canaliculus of the eye. He performs this procedure to prevent infection or other complications and to relieve pain or discomfort.20$380$5.7K
    68810The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct.30$150$4.7K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…20$290$4.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05851442007,900$1$56.4K
    6790497030$550$32.9K
    6796631020$480$19.7K
    67900273030$410$18.4K
    9921413,99832,500110$80$17.6K
    67903212020$470$16.8K
    6832061040$450$16.2K
    6870041040$360$13.6K
    920121,0241,69080$60$10.9K
    64612285050$130$7.6K

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Todd Shepler, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peter WollanTXOphthalmology Physician$261.7K$0
    Vikram DurairajTXOphthalmic Plastic and Reconstructive Surgery Physician$187.5K$0
    Richard AllenTXOphthalmic Plastic and Reconstructive Surgery Physician$170.2K$0
    Blythe MonheitALGlaucoma Specialist (Ophthalmology) Physician$153.3K$0
    Sean BlaydonTXOphthalmic Plastic and Reconstructive Surgery Physician$140.6K$0
    Aliza EpsteinFLOphthalmic Plastic and Reconstructive Surgery Physician$118.7K$0
    Irina BelinskyTXOphthalmic Plastic and Reconstructive Surgery Physician$94.4K$540
    Donovan ReedTXOphthalmic Plastic and Reconstructive Surgery Physician$63.3K$0
    Monica RayMIOphthalmology Physician$33.5K$0
    Mark MazowTXOphthalmology Physician$24.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Todd Shepler, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chaitanya IndukuriTXOphthalmology Physician$1.1M$0
    Andrew ShawTXHematology & Oncology Physician$935.4K$0
    Cedar Park Surgery Center LLPTXAmbulatory Surgical Clinic/Center$505.1K$0
    Jennifer HansonTXDermatology Physician$487.4K$0
    Hubert ChodkiewiczTXMOHS-Micrographic Surgery Physician$401.2K$0
    Ashleigh PorterTXHematology & Oncology Physician$330.5K$0
    Christopher JonesTXDermatology Physician$292.2K$0
    Medication Assisted Recovery Services Mars, LLCTXMethadone Clinic$98.5K$93.4K
    John BranchTXOphthalmology Physician$189.6K$0
    Christina HankinsTXPhysical Therapist$170.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Todd Shepler — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas