DR. STEPHANIE ANNE STAATZ (O.D.) – Optometrist, NPI 1093747305
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. STEPHANIE ANNE STAATZ (O.D.)
6325 LEWIS DR STE 114
PARKVILLE, MO 641524501
Phone: (816) 505-0100
Fax: (816) 505-2301
Type: Location
9904, North Willow Avenue, Amber Meadows, Kansas City, Clay County, Missouri, 64157, United States
KANSAS CITY, MO 641571045
Phone: (816) 407-9040
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $719.
Total Amount is formed as General ($719) + Research ($0) + Ownership ($0) = $719.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($334).
Total Amount
$719
General + Research + Ownership
Payments
23
Total payment records
General Amount
$719
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $334 |
| Alcon Vision LLC | $190 |
| Horizon Therapeutics plc | $120 |
| Optos, Inc. | $54 |
| CooperVision Inc. | $21 |
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: 2004-09-02
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040902000614 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 84 | 80 | $0 |
| 92012 | Established patient problem focused exam of visual system | 41 | 27 | $0 |
| 92004 | New patient complete exam of visual system | 20 | 20 | $0 |
| 92083 | Exam of visual field with extended testing | 19 | 18 | $0 |
| 92133 | Imaging of optic nerve | 15 | 15 | $0 |
Insurance plans in this area (ZIP 64152)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
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