Active NPI 1093155103 Individual Practitioner Female Practitioner

Dr. Stacey Keppol , OD

Optometrist • Bellevue, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Keppol, OD is a certified Optometrist practicing in Bellevue, WA. With approximately 13 years of clinical experience since graduating from New England College Of Optometry in 2013, Dr. Keppol delivers high-quality medical care to the local community at 2606 116TH AVE NE STE 100.

Dr. Keppol is affiliated with Pacific Cataract And Laser Institute Inc Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, 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

2606 116th Ave Ne Ste 100

Bellevue, WA 980041422

Telephone 4254627664

Associated Practice Facility / Clinic

🏢 Pacific Cataract And Laser Institute Inc Pc Facility NPI 1306013925

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bellevue, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -5.6 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

68 Specialists

Practicing in Bellevue, WA (1692 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keppol (13 Years) 13 Yrs

Bellevue Specialty Average (18.6 Years) 18.6 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$525.43	$181.54
92134 Imaging of retina	68	63	$210.00	$45.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$345.00	$140.20
92133 Imaging of optic nerve	19	19	$200.00	$39.53
92025 Ct scan of cornea	18	18	$190.00	$39.43
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$130.00	$30.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	72	$120.00	$99.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	47	$175.00	$140.49
92133 Imaging of optic nerve	28	28	$111.00	$41.17
92083 Exam of visual field with extended testing	27	27	$140.00	$71.91
92025 Ct scan of cornea	17	16	$55.29	$40.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$180.00	$123.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$260.00	$181.78
92136 Measurement of corneal curvature and depth of eye	12	12	$150.00	$53.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	81	$120.00	$100.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	46	$175.00	$141.97
92133 Imaging of optic nerve	31	30	$111.00	$41.16
92083 Exam of visual field with extended testing	24	24	$140.00	$72.52
92025 Ct scan of cornea	23	21	$50.00	$39.30
92134 Imaging of retina	16	15	$111.00	$45.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$180.00	$124.01
92004 New patient complete exam of visual system	11	11	$198.00	$168.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	103	$120.00	$102.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	50	$175.00	$145.06
92083 Exam of visual field with extended testing	29	26	$140.00	$74.23
92133 Imaging of optic nerve	29	26	$111.00	$42.04
92025 Ct scan of cornea	25	24	$50.00	$39.07
92285 Photography of content of eyes	22	20	$61.00	$27.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$80.00	$63.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	96	$120.00	$83.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	59	$175.00	$121.38
92083 Exam of visual field with extended testing	38	34	$140.00	$72.73
92133 Imaging of optic nerve	33	32	$111.00	$41.80
92025 Ct scan of cornea	23	22	$50.00	$38.79
92285 Photography of content of eyes	20	19	$61.00	$25.97
92134 Imaging of retina	17	17	$111.00	$45.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	147	$120.00	$79.78
92133 Imaging of optic nerve	58	54	$111.00	$39.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	54	$175.00	$117.49
92083 Exam of visual field with extended testing	52	46	$140.00	$71.42
92012 Established patient problem focused exam of visual system	26	24	$140.00	$97.37
92014 Established patient complete exam of visual system	22	22	$240.00	$139.35
92004 New patient complete exam of visual system	22	22	$240.00	$165.42
92134 Imaging of retina	18	18	$111.00	$44.98
92025 Ct scan of cornea	12	12	$50.00	$38.88
92285 Photography of content of eyes	11	11	$61.00	$24.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	72	$120.00	$74.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$175.00	$116.33
92083 Exam of visual field with extended testing	23	21	$140.00	$69.69
92133 Imaging of optic nerve	18	18	$111.00	$39.87

Medical Specialties & State Licenses

CMS Verified: 2024-03-07

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD60840014

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

2096921 (WA)

Commercial Insurance / Payer ID Caqh Provider Number

12564332 (PA)

Hospital & Practice Group Affiliations

Pacific Cataract And Laser Institute Inc Pc

2606 116th Ave Ne, Bellevue, WA 980041422

Phone: 4254627664

Secondary Practice Locations

10330 Meridian Ave N Ste 370

Seattle, WA 981339463

Phone: 2065286000

1200 W Godfrey Ave

Philadelphia, PA 191413323

Phone: 2152766000

1200 W Godfrey Ave

Philadelphia, PA 191413323

Phone: 2152766000

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Bradley Lightfoot , OD

Optometrist

NPI 1144229394

Doctor of Optometry

Dr. Debbie Patch , OD

Optometrist

NPI 1174736607

Doctor of Optometry

Dr. Maynard Pohl , OD

Optometrist

NPI 1588771448

Doctor of Optometry

Dr. Victoria Roan , OD

Optometrist

NPI 1699170258

Doctor of Optometry

Dr. Brian Carey , MD

Ophthalmology

NPI 1942377502

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location March 07, 2024

Registered at 2606 116TH AVE NE STE 100, BELLEVUE, WA 980041422 (Tel: 4254627664)

📍

Updated Business Mailing Address March 07, 2024

Registered at PO BOX 1506, CHEHALIS, WA 985320409 (Tel: 3602423010)

📍

Updated Practice Location June 22, 2018

Registered at 10330 MERIDIAN AVE N STE 370, SEATTLE, WA 981339463 (Tel: 2065286000)

📍

Updated Business Mailing Address June 22, 2018

Registered at PO BOX 6989, MAIL STOP 18913, PORTLAND, OR 972286989 (Tel: 2068587000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Optometrist (License #OD60840014 in WA)

✅

NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2013

Registered at 1200 W GODFREY AVE, PHILADELPHIA, PA 191413323 (Tel: 2152766000)

📍

Updated Business Mailing Address July 09, 2013

Registered at 1200 W GODFREY AVE, PHILADELPHIA, PA 191413323 (Tel: 2152766000)

👤

Provider Name / Credentials Updated July 09, 2013

Recorded as STACEY KEPPOL, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Optometrist (License #OEG002806 in PA)

🟢

Initial NPI Registration & Enumeration July 03, 2013

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: 1093155103

Entity Type:

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

Enumeration Date: July 03, 2013

Last Update: March 07, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1506

Chehalis, WA 985320409

Phone: 3602423010

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.