DR. HOLLY LYNN STEBEL (O.D.) – Optometrist, NPI 1982654612

DR. HOLLY LYNN STEBEL (O.D.) is a healthcare provider. based in Boise, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-1027 (ID). The NPI Number for DR. HOLLY LYNN STEBEL (O.D.) is 1982654612

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLY LYNN STEBEL (O.D.)
NPI
1982654612
Phone
(208) 938-9900
Address
13075 PERSIMMON LN., SUITE A
Enumeration Date
11 May 2006
Last Update Date
18 February 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2089389900
Graduation Year
1999 (27 years ago)
PAC ID
0446293674
Group Practice PAC ID
7012097348
Professional Enrollment ID
I20050608000278
Address ID
ID837131986BO13075LNXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

268 OPTOMETRY in ID

Provider Addresses for DR. HOLLY LYNN STEBEL (O.D.)

  • 13075 PERSIMMON LN., SUITE A

    BOISE, ID 837132078

    Phone: (208) 938-9900

    Fax: (208) 939-9264

    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 10 Open Payments records for all available years, with a total value of $2,349.

Total Amount is formed as General ($2,349) + Research ($0) + Ownership ($0) = $2,349.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Alcon Vision LLC ($1,820).

Total Amount

$2,349

General + Research + Ownership

Payments

10

Total payment records

General Amount

$2,349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2005-06-08

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
I20050608000278IOptometryIDTBD

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
92250Photography of the retina7168$0
92014Established patient complete exam of visual system5857$0
92012Established patient problem focused exam of visual system1715$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 83713)

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Provider's Procedures

DR. HOLLY LYNN STEBEL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYID92083Measurement of field of vision during daylight conditions1311

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: 7012097348View full group profile
NameSpecialtyState
O P T O M E T R YID
O P T O M E T R YID

Reviews

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Frequently asked questions

Is DR. HOLLY LYNN STEBEL (O.D.) listed with a National Provider Identifier?
Yes — DR. HOLLY LYNN STEBEL (O.D.) has NPI 1982654612 on file in the registry.
Is there an active status for DR. HOLLY LYNN STEBEL (O.D.)?
For scheduling context, DR. HOLLY LYNN STEBEL (O.D.) is shown as active in the registry.
What clinical focus is listed for DR. HOLLY LYNN STEBEL (O.D.)?
At a glance, DR. HOLLY LYNN STEBEL (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Idaho is DR. HOLLY LYNN STEBEL (O.D.) registered?
Use Boise, Idaho as the headline location for DR. HOLLY LYNN STEBEL (O.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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