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Compare the published Medicare service mix of Shirlie Antoinette Dowd Herbst, OD with clinicians in the same registry specialty: Optometrist.

NH · Exact areaEdit location

2024 published service data · 191 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Richard G. Stegen, OD

Optometrist · West Lebanon, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
100%Service-mix similarityView profile →

Paula A. Ting-Downing, OD

Optometrist · Concord, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
98%Service-mix similarityView profile →

Christina J Simpson, OD, FAAO

Optometrist · Rochester, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
97%Service-mix similarityView profile →

Michael Meegan, OD

Optometrist · Manchester, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
97%Service-mix similarityView profile →

Charles Francis Lafreniere, OD

Optometrist · Somersworth, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
94%Service-mix similarityView profile →

Tatyana Shalapyonok, O.D.

Optometrist · Nashua, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
92%Service-mix similarityView profile →

Joseph Kirgis, OD

Optometrist · Lebanon, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
92%Service-mix similarityView profile →

Tyler John Weber

Optometrist · Concord, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
92%Service-mix similarityView profile →

David Pope Mackay, O.D.

Optometrist · Bedford, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
91%Service-mix similarityView profile →

Fabrice Brenot, O.D.

Optometrist · Nashua, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
91%Service-mix similarityView profile →

Christine Caban Donahue, O.D.

Optometrist · Manchester, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
90%Service-mix similarityView profile →

Donna Reed, OD

Optometrist · New London, NH

Shared published services
3 shared services · view billing descriptions
  • Established patient complete exam of visual system (92014)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Imaging of optic nerve (92133)
90%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.