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DR. CARL LOUIS STITES O.D.
NPI 1013909415
Optometrist in Rockford, MI

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
6840 NORTHWAY DR NE, SUITE A, ROCKFORD, MI 49341(616) 863-2020 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carl Louis Stites O.d. NPPES

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

DR. CARL LOUIS STITES O.D. (NPI 1013909415) is an individual optometrist in Rockford, Michigan, licensed in Michigan (4901003291) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1989).

NPPES Registry Identity

NPI1013909415
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CARL LOUIS STITESCredential: O.D.
Location Address6840 NORTHWAY DR NE, SUITE ARockford, MI 49341-7568
Mailing Address6840 Northway Dr Ne, Suite ARockford, MI 49341-7568 · (616) 863-2020
Phone(616) 863-2020
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1989
Enumeration DateAugust 22, 2005
Last NPPES UpdateJune 8, 2010
✔ NPI 1013909415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003291
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.
6840 NORTHWAY DR NE, Rockford, MI 49341
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Other Identifiers 3

Other900D117550MI · Bcbsm
Medicare PIN0N96080MI
Medicare UPINU46230MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Carl Louis Stites 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 ID8224004577
PECOS Enrollment IDI20040909000177
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 4

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.

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.
57 services56 patients
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.
49 services43 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.
26 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49341 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

STITES EYE CARE PC
Optometrist
6840 NORTHWAY DR NE, SUITE A
ROCKFORD, MI 49341
Kent County (616) 863-2020
DR. ALEXIS LEIGH GALLAGHER DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
6840 NORTHWAY DR NE
ROCKFORD, MI 49341
Kent County (616) 863-0600

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 Carl Stites's NPI number?

The NPI number for Carl Stites is 1013909415. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Carl Stites located?

Carl Stites practices at 6840 Northway Dr NE Suite A, Rockford, MI 49341. The listed phone number is (616) 863-2020.

What is Carl Stites's specialty?

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

Is Carl Stites enrolled in Medicare?

Yes. Carl Stites 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 Carl Stites accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Carl Stites 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 Carl Stites was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.