Deactivated NPI 1518004134 Deactivated / Inactive NPI Female Practitioner

Dr. Stephanie Jo Kirschbaum , OD

Optometrist • Grass Valley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephanie Kirschbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007

NPI Deactivation Date September 25, 2025

Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Kirschbaum, OD was a registered Optometrist practicing in Grass Valley, CA. Throughout an active medical career spanning 18 years, Dr. Kirschbaum provided care at the practice location at 360 SIERRA COLLEGE DR until profile deactivation on 2025-09-25.

Historical Medicare Part B clinical services included photography of the retina, established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

360 Sierra College Dr
Suite 100

Grass Valley, CA 959455088

Telephone 5302733190

Fax 5302735541

Associated Practice Facility / Clinic

🏢 Gerald D. Chan, O.d. & Lisa E. Moon, O.d. Facility NPI 1538264601

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Grass Valley, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.3 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Grass Valley, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

9.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	17	17	$40.00	$36.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	99	99	$57.61	$37.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	46	$134.98	$128.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$181.03	$165.85
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$94.57	$89.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$60.00	$57.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	185	181	$61.96	$38.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	97	$127.76	$122.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$176.35	$167.20
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$86.35	$83.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$53.30	$50.99
92083 Exam of visual field with extended testing	19	18	$69.00	$64.29
66984 Removal of cataract with insertion of lens	18	17	$135.00	$93.50
92133 Imaging of optic nerve	18	17	$40.00	$34.71
92132 Imaging of front third of eye	15	15	$33.40	$32.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	189	186	$68.00	$41.93
92014 Established patient complete exam of visual system	84	83	$139.86	$136.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$171.00	$172.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$112.00	$112.89
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$76.00	$76.72
92004 New patient complete exam of visual system	14	14	$174.29	$161.92
92133 Imaging of optic nerve	13	12	$66.92	$37.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$214.00	$216.00
92083 Exam of visual field with extended testing	12	11	$75.83	$68.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	33	33	$62.48	$48.03
92014 Established patient complete exam of visual system	30	30	$140.00	$134.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	43	43	$140.00	$135.88
92004 New patient complete exam of visual system	12	12	$180.00	$161.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	69	69	$138.48	$133.79
92004 New patient complete exam of visual system	31	31	$173.23	$159.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	67	67	$137.00	$123.85
92004 New patient complete exam of visual system	21	21	$165.00	$148.55

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 8763T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Lisa Moon , OD

Optometrist

NPI 1174592869

Doctor of Optometry

Dr. Gerald Chan , OD

Optometrist

NPI 1275525644

Doctor of Optometry

Dr. Tiffany Chan , OD

Optometrist - Low Vision Rehabilitation

NPI 1528374246

Doctor of Optometry

Dr. Monica Rodriguez-Bayes , OD

Optometrist

NPI 1952856122

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated September 25, 2025

Record deactivated on September 25, 2025

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NPI Profile Active August 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2010

Registered at 360 SIERRA COLLEGE DR, SUITE 100, GRASS VALLEY, CA 959455088 (Tel: 5302733190)

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Updated Business Mailing Address August 04, 2010

Registered at 360 SIERRA COLLEGE DR, SUITE 100, GRASS VALLEY, CA 959455088 (Tel: 5302733190)

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Provider Name / Credentials Updated August 04, 2010

Recorded as STEPHANIE KIRSCHBAUM, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2010

Optometrist (License #8763T in CA)

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Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518004134

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 31, 2007

Last Update: August 04, 2010

Deactivation Date: September 25, 2025

Update or Correct Profile

Mailing Address

360 Sierra College Dr, Suite 100

Grass Valley, CA 959455088

Phone: 5302733190

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.