DR. JOSEPH B STUDEBAKER (OD) – Optometrist, NPI 1124022090

DR. JOSEPH B STUDEBAKER (OD) is a healthcare provider. based in Englewood, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3970 (OH). The NPI Number for DR. JOSEPH B STUDEBAKER (OD) is 1124022090

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH B STUDEBAKER (OD)
NPI
1124022090
Phone
(937) 836-3041
Address
639 W NATIONAL RD
Enumeration Date
9 June 2005
Last Update Date
3 September 2015

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3308671104
Graduation Year
1987 (39 years ago)
PAC ID
6507998333
Group Practice PAC ID
7618207036
Professional Enrollment ID
I20100728000120
Address ID
OH443137030AK1655XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. JOSEPH B STUDEBAKER (OD)

  • National Road, Morgan Place, Englewood, Montgomery County, Ohio, 45322, United States

    ENGLEWOOD, OH 453221155

    Phone: (937) 836-3041

    Fax: (937) 836-1937

    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 5 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: CooperVision Inc. ($105).

Total Amount

$122

General + Research + Ownership

Payments

5

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2010-07-28

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
I20100728000120IOptometryOHTBD

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 system3434$0
92133Imaging of optic nerve1717$0
92134Imaging of retina1514$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 45322)

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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: 7618207036View full group profile
NameSpecialtyState
O P T O M E T R YSC
O P T O M E T R YNC
O P T O M E T R YOH
O P T O M E T R YTN
O P T O M E T R YOH
O P H T H A L M O L O G YMI
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What identifier follows DR. JOSEPH B STUDEBAKER (OD) across health systems?
The NPI 1124022090 uniquely identifies DR. JOSEPH B STUDEBAKER (OD) in U.S. healthcare data.
Quick check: is DR. JOSEPH B STUDEBAKER (OD) active?
Public NPPES data shows DR. JOSEPH B STUDEBAKER (OD) with an active NPI status right now.
What services align with DR. JOSEPH B STUDEBAKER (OD)'s listing?
DR. JOSEPH B STUDEBAKER (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JOSEPH B STUDEBAKER (OD) in Englewood, Ohio?
For routing, start with Englewood, Ohio for DR. JOSEPH B STUDEBAKER (OD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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