MRS. STACI PEREA MCMULLEN (OD) – Optometrist, NPI 1386639615

MRS. STACI PEREA MCMULLEN (OD) is a healthcare provider. based in Colorado springs, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2151 (CO). The NPI Number for MRS. STACI PEREA MCMULLEN (OD) is 1386639615

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACI PEREA MCMULLEN (OD)
NPI
1386639615
Phone
(719) 380-6808
Address
6071 E WOODMEN RD
Enumeration Date
13 September 2005
Last Update Date
11 July 2011

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7193806808
Graduation Year
2000 (26 years ago)
PAC ID
6709901002
Group Practice PAC ID
9830282797
Professional Enrollment ID
I20100909000944
Address ID
CO809232620CO7435XGRVX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for MRS. STACI PEREA MCMULLEN (OD)

  • 6071, East Woodmen Road, Colorado Springs, El Paso County, Colorado, 80924, United States

    SUITE 205

    COLORADO SPRINGS, CO 809232607

    Phone: (719) 380-6808

    Fax: (719) 380-5656

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,873.

Total Amount is formed as General ($1,873) + Research ($0) + Ownership ($0) = $1,873.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: CooperVision Inc. ($1,445).

Total Amount

$1,873

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,873

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100909000944IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8839$0
99214Established patient office or other outpatient visit, 30-39 minutes5548$0
92133Imaging of optic nerve2420$0
66984Removal of cataract with insertion of prosthetic lens2213$0
92134Imaging of retina1716$0
View full utilization report →

Insurance plans in this area (ZIP 80923)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830282797View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

How do I look up MRS. STACI PEREA MCMULLEN (OD) by NPI?
Use NPI 1386639615 when you need to reference MRS. STACI PEREA MCMULLEN (OD) in forms, claims, or directories.
Is MRS. STACI PEREA MCMULLEN (OD) active in the national directory?
MRS. STACI PEREA MCMULLEN (OD)'s public NPI profile is in an active state.
What field does MRS. STACI PEREA MCMULLEN (OD) work in?
You can think of MRS. STACI PEREA MCMULLEN (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does MRS. STACI PEREA MCMULLEN (OD) practice in Colorado?
You will see Colorado Springs, Colorado on file for MRS. STACI PEREA MCMULLEN (OD) alongside any extra practice locations.
How can I contact MRS. STACI PEREA MCMULLEN (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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