STEPHANIE MARIE BAXTER (O.D.) – Optometrist, NPI 1003076530

STEPHANIE MARIE BAXTER (O.D.) is a healthcare provider. based in Mishawaka, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5793 (OH). The NPI Number for STEPHANIE MARIE BAXTER (O.D.) is 1003076530

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MARIE BAXTER (O.D.)
NPI
1003076530
Phone
(574) 271-3939
Address
230 E DAY RD
Enumeration Date
9 June 2008
Last Update Date
17 August 2015

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5742713939
Graduation Year
2008 (18 years ago)
PAC ID
2860551272
Group Practice PAC ID
3173595634
Professional Enrollment ID
I20150626000825
Address ID
IN465453408MI230XXRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for STEPHANIE MARIE BAXTER (O.D.)

  • East Day Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    STE 100

    MISHAWAKA, IN 465453408

    Phone: (574) 271-3939

    Fax: (574) 271-3941

    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 $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($164).

Total Amount

$312

General + Research + Ownership

Payments

10

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2015-06-26

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
I20150626000825IOptometryINTBD

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 minutes16995$0
92014Established patient complete exam of visual system146145$0
92133Imaging of optic nerve6361$0
92083Exam of visual field with extended testing4639$0
92134Imaging of retina3228$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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Provider's Procedures

STEPHANIE MARIE BAXTER (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIN92012Eye and medical examination for diagnosis and treatment, established patient2319
OPTOMETRYIN92083Measurement of field of vision during daylight conditions2321
OPTOMETRYIN92134Diagnostic imaging of retina1918

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: 3173595634View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN

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Frequently asked questions

Can I verify STEPHANIE MARIE BAXTER (O.D.) with an NPI only?
You can start verification with NPI 1003076530 for STEPHANIE MARIE BAXTER (O.D.), then check state licensing separately.
Does the file indicate STEPHANIE MARIE BAXTER (O.D.) is practicing under active NPI?
Directory data currently reports STEPHANIE MARIE BAXTER (O.D.) as active.
What taxonomy line describes STEPHANIE MARIE BAXTER (O.D.)?
For research purposes, treat STEPHANIE MARIE BAXTER (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does STEPHANIE MARIE BAXTER (O.D.) serve?
STEPHANIE MARIE BAXTER (O.D.)'s listing highlights Mishawaka, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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