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STEPHANIE MARIE BAXTER O.D.
NPI 1003076530
Optometrist in Mishawaka, IN

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
89.85/100
CMS Quality Rating
230 E DAY RD, STE 100, MISHAWAKA, IN 46545(574) 271-3939(574) 271-3941 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Marie Baxter O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MARIE BAXTER O.D. (NPI 1003076530) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18003890A) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2008).

NPPES Registry Identity

NPI1003076530
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSTEPHANIE MARIE BAXTERCredential: O.D.
Location Address230 E DAY RD, STE 100Mishawaka, IN 46545-3408
Mailing Address230 E Day Rd, Ste 100Mishawaka, IN 46545-3408 · (574) 271-3939 · Fax (574) 271-3941
Phone(574) 271-3939
Fax(574) 271-3941
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2008
Enumeration DateJune 9, 2008
Last NPPES UpdateAugust 17, 2015
✔ NPI 1003076530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IN · 18003890A✔ Licensed in OH · 5793
Definition
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.
230 E DAY RD, Mishawaka, IN 46545
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Other Identifiers 3

Other204460005IN · Medicare Ptan
Medicaid2856128OH
Medicaid201293730IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Marie Baxter O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860551272
PECOS Enrollment IDI20150626000825
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services83 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
119 services116 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
51 services50 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
42 services41 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
27 services26 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.18

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INSTITUTE FOR ORTHOPEDIC AND NERVE SURGERY
Orthopaedic Surgery
230 E DAY RD, SUITE 130
MISHAWAKA, IN 46545
St. Joseph County (574) 247-4667
DAVID F SONEGO MD PC & ASSOCIATES
Counselor (Mental Health)
230 E DAY RD, STE 160
MISHAWAKA, IN 46545
St. Joseph County (574) 271-8222
DR. ANDREW R ANDERSON OD
Optometrist
230 E DAY RD, 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
RICHARD D WEISS MD
Ophthalmology
230 E DAY RD, 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
DR. HUGH J. VAN AUKEN SR. CP
Psychologist (Clinical)
230 E DAY RD, # 160
MISHAWAKA, IN 46545
St. Joseph County (574) 271-8222
MICHIANA EYE CENTER LLC
Ophthalmology
230 E DAY RD, 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
KEVIN A DANAHEY OD
Optometrist
230 E DAY RD, 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
PHYSICIANS HOLISTIC HEALTH ALLIANCE, LLC
Obstetrics & Gynecology
230 E DAY RD, SUITE 180
MISHAWAKA, IN 46545
St. Joseph County (574) 273-3880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Baxter's NPI number?

The NPI number for Stephanie Baxter is 1003076530. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Stephanie Baxter located?

Stephanie Baxter practices at 230 E Day Rd Ste 100, Mishawaka, IN 46545. The listed phone number is (574) 271-3939.

What is Stephanie Baxter's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Stephanie Baxter enrolled in Medicare?

Yes. Stephanie Baxter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Baxter accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Stephanie Baxter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Baxter was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.