DR. CHARLES DOUGLAS STINE (OD) – Optometrist, NPI 1740267129

DR. CHARLES DOUGLAS STINE (OD) is a healthcare provider. based in Weston, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1909035 (WI). The NPI Number for DR. CHARLES DOUGLAS STINE (OD) is 1740267129

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES DOUGLAS STINE (OD)
NPI
1740267129
Phone
(715) 241-2020
Address
4009 COMMUNITY CENTER DR
Enumeration Date
28 December 2005
Last Update Date
19 February 2016

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7152412020
Graduation Year
1981 (45 years ago)
PAC ID
2567438526
Group Practice PAC ID
1759357718
Professional Enrollment ID
I20040910000142
Address ID
WI544764139WE4009XDRXX402
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

798 OPTOMETRY in WI

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Provider Addresses for DR. CHARLES DOUGLAS STINE (OD)

  • Community Center Drive, Weston Medical Center, Village of Weston, Marathon County, Wisconsin, 54476, United States

    WESTON, WI 544764139

    Phone: (715) 241-2020

    Fax: (715) 241-9827

    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 17 Open Payments records for all available years, with a total value of $548.

Total Amount is formed as General ($548) + Research ($0) + Ownership ($0) = $548.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Alcon Vision LLC ($245).

Total Amount

$548

General + Research + Ownership

Payments

17

Total payment records

General Amount

$548

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2004-09-10

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
I20040910000142IOptometryWITBD

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
66984Removal of cataract with insertion of prosthetic lens3,91627$0
92014Established patient complete exam of visual system223223$0
99214Established patient office or other outpatient visit, 30-39 minutes12380$0
92134Imaging of retina7144$0
99213Established patient office or other outpatient visit, 20-29 minutes6552$0
View full utilization report →

Insurance plans in this area (ZIP 54476)

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Provider's Procedures

DR. CHARLES DOUGLAS STINE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWI92083Measurement of field of vision during daylight conditions4033
OPTOMETRYWI92134Diagnostic imaging of retina5235

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: 1759357718View full group profile
NameSpecialtyState
O P T O M E T R YWI
O P T O M E T R YWI
O P T O M E T R YWI
O P T O M E T R YWI

Reviews

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Frequently asked questions

What is DR. CHARLES DOUGLAS STINE (OD)'s NPI number?
DR. CHARLES DOUGLAS STINE (OD)'s NPI is 1740267129 — the number used across U.S. healthcare to identify this provider.
Would DR. CHARLES DOUGLAS STINE (OD) appear as active to a payer?
You can treat DR. CHARLES DOUGLAS STINE (OD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. CHARLES DOUGLAS STINE (OD)?
DR. CHARLES DOUGLAS STINE (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DR. CHARLES DOUGLAS STINE (OD) registered?
Use Weston, Wisconsin as the headline location for DR. CHARLES DOUGLAS STINE (OD) here.
When was this NPI issued?
Enumeration for DR. CHARLES DOUGLAS STINE (OD) is noted as December 28, 2005 where the registry provides it.

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