DR. STACI RENEE WALTERS (O.D.) – Optometrist, NPI 1417173832
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for DR. STACI RENEE WALTERS (O.D.)
665 S APOLLO BLVD
MELBOURNE, FL 329011485
Phone: (321) 984-3200
Fax: (321) 984-0032
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 3 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Alcon Vision LLC ($47).
Total Amount
$63
General + Research + Ownership
Payments
3
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $47 |
| Amgen Inc. | $16 |
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: 2011-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110920000579 | I | Optometry | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92025 | Ct scan of cornea | 974 | 636 | $0 |
| 92134 | Imaging of retina | 669 | 590 | $0 |
| 92012 | Established patient problem focused exam of visual system | 491 | 231 | $0 |
| 92014 | Established patient complete exam of visual system | 479 | 421 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 183 | 183 | $0 |
Insurance plans in this area (ZIP 32901)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | CT | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL |
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