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DR. STEPHEN B HEDGES OD
NPI 1043595192
Optometrist in Newberry, FL

Active since October 19, 2011PECOS Enrolled
14128 W NEWBERRY RD STE 40, NEWBERRY, FL 32669(352) 309-2021(352) 309-2024 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2025, Jan 21, 2021 (2 updates tracked since 2021).

About Dr. Stephen B Hedges Od NPPES

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

DR. STEPHEN B HEDGES OD (NPI 1043595192) is an individual optometrist in Newberry, Florida, licensed in Florida (OPC4996) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Pacific University - College Of Optometry (2014).

NPPES Registry Identity

NPI1043595192
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHEN B HEDGESCredential: OD
Location Address14128 W NEWBERRY RD STE 40Newberry, FL 32669-3447
Mailing Address14128 W Newberry Rd Ste 40Newberry, FL 32669-3820 · (352) 309-2021 · Fax (352) 309-2024
Phone(352) 309-2021
Fax(352) 309-2024
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2014
Enumeration DateOctober 19, 2011
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1043595192 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 FL · OPC4996
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.
14128 W NEWBERRY RD STE 40, Newberry, FL 32669
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Secondary Practice Location 1

Location 13205 Clark Butler Blvd Ste 30Gainesville, FL 32608-2436 · Phone (352) 335-1232

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen B Hedges Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981826609
PECOS Enrollment IDI20141113001786
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Hedges reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hedges Eye Care, PA
Same address
Optometrist
14128 W NEWBERRY RD STE 40
Newberry, FL 32669
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1720604747 (352) 309-2021
R Kevin Quinn O.D., P.A.
5.5 mi
Optometrist
817 NW 56TH TER, SUITE B
Gainesville, FL 32605
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1306885702 (352) 331-7771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
110 services91 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.
55 services39 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.
54 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 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.
18 services15 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32669 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

HEDGES EYE CARE, PA
Optometrist
14128 W NEWBERRY RD STE 40
NEWBERRY, FL 32669
Alachua County (352) 309-2021

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 Stephen Hedges's NPI number?

The NPI number for Stephen Hedges is 1043595192. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Stephen Hedges located?

Stephen Hedges practices at 14128 W Newberry Rd Ste 40, Newberry, FL 32669. The listed phone number is (352) 309-2021.

What is Stephen Hedges's specialty?

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

Is Stephen Hedges enrolled in Medicare?

Yes. Stephen Hedges is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephen Hedges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Hedges reassigns Medicare benefits to 2 organizations: Hedges Eye Care, PA (Newberry, FL) and R Kevin Quinn O.D., P.A. (Gainesville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Hedges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Hedges accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Stephen Hedges 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 Stephen Hedges was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.