Active NPI 1831192533 Individual Practitioner Male Practitioner

Dr. Stephen Vincent Cusumano , OD

Optometrist • O Fallon, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Cusumano, OD is a certified Optometrist practicing in O Fallon, MO. With approximately 40 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 1986, Dr. Cusumano delivers high-quality medical care to the local community at 2681 HIGHWAY K.

Dr. Cusumano maintains professional affiliations with Optimized Eyecare Llc, Regional Eyecare Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, new 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

2681 Highway K

O Fallon, MO 633687865

Telephone 6369785555

Fax 6369785555

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in O Fallon, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +24.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

28 Specialists

Practicing in O Fallon, MO (1288 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cusumano (40 Years) 40 Yrs

O Fallon Specialty Average (15.9 Years) 15.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	112	$142.29	$123.48
99213 Established patient office or other outpatient visit, typically 15 minutes	30	21	$102.00	$87.06
92250 Photography of the retina	15	15	$67.00	$35.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$254.50	$158.54
92134 Imaging of retina	14	13	$102.86	$33.49
92014 Established patient complete exam of visual system	12	12	$154.17	$119.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	84	$136.00	$123.25
99213 Established patient office or other outpatient visit, typically 15 minutes	28	21	$90.00	$87.94
92250 Photography of the retina	16	16	$67.00	$34.19
92014 Established patient complete exam of visual system	16	16	$136.25	$114.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$159.00	$157.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	83	$136.00	$126.70
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$90.00	$89.18
92250 Photography of the retina	20	19	$67.00	$36.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$55.00	$54.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$159.00	$158.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	104	$136.00	$129.23
92250 Photography of the retina	31	31	$67.00	$39.10
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$90.00	$90.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	84	$136.00	$107.25
92250 Photography of the retina	20	20	$67.00	$42.45
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$90.00	$72.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$159.00	$158.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	108	$136.30	$101.52
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$91.80	$69.24
92250 Photography of the retina	30	29	$71.67	$43.49
92083 Exam of visual field with extended testing	24	23	$86.19	$59.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$159.00	$153.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	93	$97.94	$86.15
92250 Photography of the retina	71	69	$76.18	$48.39
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$74.53	$64.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$125.45	$121.08
92083 Exam of visual field with extended testing	22	21	$107.91	$56.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	88	$85.00	$82.69
92250 Photography of the retina	59	58	$75.00	$56.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$119.00	$116.29
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$70.00	$63.93

Medical Specialties & State Licenses

CMS Verified: 2025-10-20

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO TO2670

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

Commercial Insurance / Payer ID Ptan

91710001

Commercial Insurance / Payer ID Npi

1831192533

Commercial Insurance / Payer ID Federal Tax Id

431081796 (MO)

Hospital & Practice Group Affiliations

Optimized Eyecare Llc

15825 Fountain Plaza Dr, Chesterfield, MO 630177468

Phone: 6363913937

Regional Eyecare Associates Inc

3013 Winghaven Blvd, O Fallon, MO 633683600

Phone: 6365613937

Secondary Practice Locations

3758 Elm St

Saint Charles, MO 633014336

Phone: 6367573553

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Charles Signorelli , OD

Optometrist

NPI 1285701581

Doctor of Optometry

Dr. Emma Schafers-Karl , OD

Optometrist

NPI 1558389270

Doctor of Optometry

Dr. Jeffrey Lant , OD

Optometrist

NPI 1710241583

Doctor of Optometry

Dr. Lisa Mackey , OD

Optometrist

NPI 1982693297

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 20, 2025

Registered at 2681 HIGHWAY K, O FALLON, MO 633687865 (Tel: 6369785555)

📍

Updated Business Mailing Address October 20, 2025

Registered at 9979 WINGHAVEN BLVD STE 210, O FALLON, MO 633683628 (Tel: 6366958555)

✅

NPI Profile Active February 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2010

Registered at 317 CLARKSON RD, ELLISVILLE, MO 630112271 (Tel: 6363913937)

📍

Updated Business Mailing Address February 17, 2010

Registered at 2719 VALLEY RD, CHESTERFIELD, MO 630056925 (Tel: 6362309097)

👤

Provider Name / Credentials Updated February 17, 2010

Recorded as STEPHEN CUSUMANO, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2010

Optometrist (License #TO2670 in MO)

🟢

Initial NPI Registration & Enumeration May 27, 2005

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: 1831192533

Entity Type:

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

Enumeration Date: May 27, 2005

Last Update: October 20, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9979 Winghaven Blvd Ste 210

O Fallon, MO 633683628

Phone: 6366958555

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.