Active NPI 1417173832 Individual Practitioner Female Practitioner

Dr. Staci Renee Walters , OD

Optometrist • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Staci Walters, OD is a certified Optometrist practicing in Melbourne, FL. With approximately 23 years of clinical experience since graduating from Pacific University - College Of Optometry in 2003, Dr. Walters delivers high-quality medical care to the local community at 665 S APOLLO BLVD.

Dr. Walters maintains professional affiliations with Space Coast Ophthalmology Llc, Magruder Eye Institute, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of front third of eye, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

665 S Apollo Blvd

Melbourne, FL 329011485

Telephone 3219843200

Fax 3219840032

Associated Practice Facility / Clinic

🏢 Brevard Surgery Center Facility NPI 1770528838

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -3.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

43 Specialists

Practicing in Melbourne, FL (3724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walters (23 Years) 23 Yrs

Melbourne Specialty Average (26.0 Years) 26.0 Yrs

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
92132 Imaging of front third of eye	761	576	$85.00	$28.17
92134 Imaging of retina	566	503	$90.00	$38.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	251	$250.00	$126.74
92012 Established patient problem focused exam of visual system	247	132	$175.00	$85.35
92014 Established patient complete exam of visual system	226	223	$240.00	$120.66
99213 Established patient office or other outpatient visit, typically 15 minutes	211	117	$180.00	$89.77
92025 Ct scan of cornea	155	100	$80.97	$35.08
65778 Insertion of amniotic membrane to eye surface	109	45	$2500.00	$1019.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$225.00	$165.75
92133 Imaging of optic nerve	28	27	$85.00	$34.08
67820 Removal of eyelashes using forceps	27	17	$103.70	$18.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	974	636	$80.00	$34.92
92134 Imaging of retina	669	590	$89.93	$36.08
92012 Established patient problem focused exam of visual system	491	231	$142.92	$86.40
92014 Established patient complete exam of visual system	479	421	$183.44	$121.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	183	183	$224.66	$164.52
65778 Insertion of amniotic membrane to eye surface	154	67	$2214.29	$1256.27
68761 Closure of tear duct opening using plug	63	32	$150.00	$103.98
92132 Imaging of front third of eye	34	32	$85.00	$28.30
67820 Removal of eyelashes using forceps	28	18	$107.14	$18.54
92133 Imaging of optic nerve	27	27	$85.00	$32.56
92083 Exam of visual field with extended testing	16	16	$125.00	$59.72
92250 Photography of the retina	13	13	$100.00	$33.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	860	571	$80.00	$35.32
92012 Established patient problem focused exam of visual system	579	254	$125.00	$87.30
92134 Imaging of retina	457	405	$90.00	$36.91
92014 Established patient complete exam of visual system	401	357	$150.00	$123.86
65778 Insertion of amniotic membrane to eye surface	188	81	$2170.21	$1376.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$225.00	$168.13
92132 Imaging of front third of eye	31	29	$85.00	$29.18
67820 Removal of eyelashes using forceps	21	12	$100.00	$16.44
92083 Exam of visual field with extended testing	19	18	$125.00	$60.86
92250 Photography of the retina	18	17	$100.00	$33.10
92133 Imaging of optic nerve	15	14	$85.00	$33.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.00	$112.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	649	426	$80.00	$36.10
92012 Established patient problem focused exam of visual system	556	232	$125.00	$88.17
92134 Imaging of retina	394	346	$90.00	$37.44
92014 Established patient complete exam of visual system	291	257	$150.00	$124.46
65778 Insertion of amniotic membrane to eye surface	203	98	$2532.02	$1592.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$225.00	$167.88
67820 Removal of eyelashes using forceps	25	18	$100.00	$18.49
92083 Exam of visual field with extended testing	24	23	$125.00	$61.70
92132 Imaging of front third of eye	20	20	$85.00	$28.44
92133 Imaging of optic nerve	16	15	$85.00	$34.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$125.00	$125.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	611	424	$80.00	$36.31
92012 Established patient problem focused exam of visual system	429	216	$125.00	$87.00
92134 Imaging of retina	398	347	$89.98	$37.64
92014 Established patient complete exam of visual system	332	289	$150.00	$124.46
65778 Insertion of amniotic membrane to eye surface	113	55	$2000.00	$1358.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$225.00	$166.07
99213 Established patient office or other outpatient visit, typically 15 minutes	71	53	$85.00	$74.82
92083 Exam of visual field with extended testing	54	50	$125.00	$61.85
92133 Imaging of optic nerve	40	34	$85.00	$34.06
67820 Removal of eyelashes using forceps	24	18	$100.00	$24.79
92132 Imaging of front third of eye	19	17	$85.00	$30.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$60.00	$44.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	269	172	$179.26	$86.45
92014 Established patient complete exam of visual system	254	242	$249.43	$124.18
92083 Exam of visual field with extended testing	90	79	$128.80	$62.50
92133 Imaging of optic nerve	82	75	$78.61	$36.37
92134 Imaging of retina	75	70	$88.29	$39.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	47	$218.06	$107.33
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$136.17	$73.27
92004 New patient complete exam of visual system	45	45	$264.56	$148.38
92025 Ct scan of cornea	20	20	$87.00	$36.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	423	390	$245.52	$119.55
92012 Established patient problem focused exam of visual system	411	219	$171.14	$82.18
92250 Photography of the retina	212	196	$130.71	$53.82
92083 Exam of visual field with extended testing	121	111	$130.00	$60.45
92133 Imaging of optic nerve	94	90	$89.12	$35.82
92004 New patient complete exam of visual system	42	42	$289.68	$143.56
92134 Imaging of retina	38	37	$90.57	$39.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	469	262	$173.15	$78.68
92014 Established patient complete exam of visual system	433	410	$251.34	$115.42
92250 Photography of the retina	338	316	$155.00	$60.68
92083 Exam of visual field with extended testing	122	116	$130.00	$59.21
92133 Imaging of optic nerve	102	98	$90.00	$35.02
92004 New patient complete exam of visual system	53	53	$299.08	$139.43
92134 Imaging of retina	47	43	$92.00	$37.55
76514 Ultrasound scan of cornea to determine thickness	17	17	$50.00	$13.44

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL 4395

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003325900 (FL)

Commercial Insurance / Payer ID Bcbs

190CM (FL)

Commercial Insurance / Payer ID Demerc St

053998004 (FL)

Commercial Insurance / Payer ID Demerc Pb

053998005 (FL)

Commercial Insurance / Payer ID Demerc Nc

053998003 (FL)

Commercial Insurance / Payer ID Demerc Tv

0539980006 (FL)

Commercial Insurance / Payer ID Demerc Ap

053998002 (FL)

Hospital & Practice Group Affiliations

Magruder Eye Institute, Pllc

1911 N Mills Ave, Orlando, FL 328031407

Phone: 4078938200

Space Coast Ophthalmology Llc

1832 Garden St, Titusville, FL 327963200

Phone: 3212670008

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Michelle Hebert , OD

Optometrist

NPI 1083824361

Doctor of Optometry

Stephanie Stonecypher

Physician Assistant

NPI 1114580065

Dr. Paul Befanis , MD

Ophthalmology

NPI 1346288784

Doctor of Medicine (M.D.)

Dr. Rafael Trespalacios , MD

Ophthalmology

NPI 1477503696

Doctor of Medicine (M.D.)

Dr. Jessica Luu , OD

Optometrist

NPI 1619364775

Doctor of Optometry

Dr. Leslie Callaway , OD

Optometrist

NPI 1861986937

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2018

Optometrist (License #4395 in FL)

✅

NPI Profile Active March 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2012

Registered at 665 S APOLLO BLVD, MELBOURNE, FL 329011485 (Tel: 3219843200)

📍

Updated Business Mailing Address March 11, 2012

Registered at 665 S APOLLO BLVD, MELBOURNE, FL 329011485 (Tel: 3219843200)

👤

Provider Name / Credentials Updated March 11, 2012

Recorded as STACI WALTERS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2012

Optometrist (License #2422 in CO)

🟢

Initial NPI Registration & Enumeration April 17, 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: 1417173832

Entity Type:

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

Enumeration Date: April 17, 2007

Last Update: February 23, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

665 S Apollo Blvd

Melbourne, FL 329011485

Phone: 3219843200

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.