STACEY KEPPOL OD
NPI 1093155103
Optometrist in Bellevue, WA

Q: What is Stacey Keppol's NPI number?

The NPI number for Stacey Keppol is 1093155103. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Q: What is Stacey Keppol's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Keppol was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 03, 2013PECOS EnrolledAccepts Medicare Assignment

97.96/100

CMS Quality Rating

2606 116TH AVE NE STE 100, BELLEVUE, WA 98004(425) 462-7664 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Jun 22, 2018 (2 updates tracked since 2018).

On this page

About Stacey Keppol Od NPPES

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

STACEY KEPPOL OD (NPI 1093155103) is an individual optometrist in Bellevue, Washington, licensed in Washington (OD60840014) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New England College Of Optometry (2013).

NPPES Registry Identity

NPI1093155103

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSTACEY KEPPOLCredential: OD

Location Address2606 116TH AVE NE STE 100Bellevue, WA 98004-1422

Mailing AddressPo Box 1506Chehalis, WA 98532-0409 · (360) 242-3010 · Fax (206) 858-7050

Phone(425) 462-7664

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2013

Enumeration DateJuly 3, 2013

Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1093155103 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 WA · OD60840014

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.

2606 116TH AVE NE STE 100, Bellevue, WA 98004

Open in Google Maps ↗

Secondary Practice Locations 2

Location 110330 Meridian Ave N Ste 370Seattle, WA 98133-9463 · Phone (206) 528-6000 · Fax (206) 528-0014

Location 21200 W Godfrey AvePhiladelphia, PA 19141-3323 · Phone (215) 276-6000 ext. 6000 · Fax (215) 276-1329

Other Identifiers 2

Medicaid2096921WA

Other12564332PA · Caqh Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

Stacey Keppol Od 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 ID2769625458

PECOS Enrollment IDI20180404001591

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 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.

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.

170 services170 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.

68 services63 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.

57 services57 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).

19 services19 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

18 services18 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

97.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.6

Improvement Activities

Other Providers at the Same Location NPPES 6

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

DR. BRADLEY J LIGHTFOOT OD

Optometrist