DR. STACY JO HILL (O.D.) – Optometrist, NPI 1457765604

DR. STACY JO HILL (O.D.) is a healthcare provider. based in Beaverton, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3548ATI (OR). The NPI Number for DR. STACY JO HILL (O.D.) is 1457765604

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY JO HILL (O.D.)
NPI
1457765604
Phone
(503) 646-8592
Address
4655 SW GRIFFITH DR STE 165
Enumeration Date
16 June 2014
Last Update Date
6 December 2019

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5036468592
Graduation Year
2014 (12 years ago)
PAC ID
0143441303
Group Practice PAC ID
0749339000
Professional Enrollment ID
I20141031002245
Address ID
OR970058731BE4655XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for DR. STACY JO HILL (O.D.)

  • 4655 SW GRIFFITH DR STE 165

    BEAVERTON, OR 970058731

    Phone: (503) 646-8592

    Type: Location

  • 2043 College Way

    Forest Grove, OR 971161797

    Phone: (503) 352-2020

    Type: Location

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 $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2023-10-03 • Largest payer in this snapshot: Alcon Vision LLC ($62).

Total Amount

$78

General + Research + Ownership

Payments

5

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-03

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: 2014-10-31

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
I20141031002245IOptometryORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97005)

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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: 0749339000View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

Where can patients find DR. STACY JO HILL (O.D.)'s NPI?
You can confirm DR. STACY JO HILL (O.D.) with NPI 1457765604; it appears in the national provider directory.
Is DR. STACY JO HILL (O.D.) active in the national directory?
DR. STACY JO HILL (O.D.)'s public NPI profile is in an active state.
Can you summarize DR. STACY JO HILL (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. STACY JO HILL (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. STACY JO HILL (O.D.)?
We surface Beaverton, Oregon for DR. STACY JO HILL (O.D.) based on available NPPES addresses.
How can I contact DR. STACY JO HILL (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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