BRYAN ANDREW STAM (O.D.) – Optometrist, NPI 1245239581

BRYAN ANDREW STAM (O.D.) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC 3453 (FL). The NPI Number for BRYAN ANDREW STAM (O.D.) is 1245239581

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN ANDREW STAM (O.D.)
NPI
1245239581
Phone
(904) 273-3149
Address
104 NINA CT
Enumeration Date
19 July 2005
Last Update Date
14 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042886747
Graduation Year
2000 (26 years ago)
PAC ID
6608965470
Professional Enrollment ID
I20100616000672
Address ID
FL322587406JA10251LNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

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Provider Addresses for BRYAN ANDREW STAM (O.D.)

  • 104 NINA CT

    PONTE VEDRA BEACH, FL 320822429

    Phone: (904) 273-3149

    Type: Mailing

  • Beach Boulevard, Jacksonville Beach, Duval County, Florida, 32250, United States

    SUITE B

    JACKSONVILLE BEACH, FL 322504303

    Phone: (904) 246-4831

    Fax: (904) 249-5876

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $2,882.

Total Amount is formed as General ($2,882) + Research ($0) + Ownership ($0) = $2,882.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($2,254).

Total Amount

$2,882

General + Research + Ownership

Payments

26

Total payment records

General Amount

$2,882

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-06-16

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
I20100616000672IOptometryFLTBD

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 minutes6357$0
99214Established patient office or other outpatient visit, 30-39 minutes3028$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
92004New patient complete exam of visual system1818$0
92134Imaging of retina1615$0
View full utilization report →

Insurance plans in this area (ZIP 32082)

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Reviews

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Frequently asked questions

Does BRYAN ANDREW STAM (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRYAN ANDREW STAM (O.D.) uses 1245239581.
Does CMS list BRYAN ANDREW STAM (O.D.) as active?
Yes — BRYAN ANDREW STAM (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes BRYAN ANDREW STAM (O.D.)?
For research purposes, treat BRYAN ANDREW STAM (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BRYAN ANDREW STAM (O.D.) on a map?
Expect Ponte Vedra Beach, Florida as a primary anchor for BRYAN ANDREW STAM (O.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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