STEPHEN ELI MULLEN (O.D.) – Optometrist, NPI 1962422519

STEPHEN ELI MULLEN (O.D.) is a healthcare provider. based in Platte city, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2004018249 (MO). The NPI Number for STEPHEN ELI MULLEN (O.D.) is 1962422519

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN ELI MULLEN (O.D.)
NPI
1962422519
Phone
(816) 858-3954
Address
79 MAPLE DR
Enumeration Date
19 July 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
8888403032
Graduation Year
2004 (22 years ago)
PAC ID
2365402559
Group Practice PAC ID
9638571524
Professional Enrollment ID
I20041012001395
Address ID
MO658044006SP2847XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for STEPHEN ELI MULLEN (O.D.)

  • 79, Maple Drive, Maple Grove, Platte City, Platte County, Missouri, 64079, United States

    PLATTE CITY, MO 640799640

    Phone: (816) 858-3954

    Fax: (816) 858-3954

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041012001395IOptometryMOTBD
I20050209000757IOptometryILTBD

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
92014Established patient complete exam of visual system695618$0
92004New patient complete exam of visual system401401$0
92012Established patient problem focused exam of visual system9885$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes9594$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8874$0
View full utilization report →

Insurance plans in this area (ZIP 64079)

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Provider's Procedures

STEPHEN ELI MULLEN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92012Eye and medical examination for diagnosis and treatment, established patient457395

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: 9638571524View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YNE
O P T O M E T R YIA
O P T O M E T R YMN
O P T O M E T R YFL

Reviews

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Frequently asked questions

How do payers reference STEPHEN ELI MULLEN (O.D.)?
For STEPHEN ELI MULLEN (O.D.), use NPI 1962422519 as the unique 10-digit identifier.
Would STEPHEN ELI MULLEN (O.D.) appear as active to a payer?
You can treat STEPHEN ELI MULLEN (O.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe STEPHEN ELI MULLEN (O.D.)'s focus?
For STEPHEN ELI MULLEN (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHEN ELI MULLEN (O.D.)?
Directory geography for STEPHEN ELI MULLEN (O.D.) centers on Platte City, Missouri.
Does STEPHEN ELI MULLEN (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.