DR. TINA COOLEY STALEY O.D.
NPI 1114062668
Optometrist in Gilbert, AZ

Q: What is Tina Cooley Staley's NPI number?

The NPI number for Tina Cooley Staley is 1114062668. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Tina Cooley Staley's specialty?

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

Active since February 21, 2007PECOS Enrolled

1780 E BOSTON ST, STE 101, GILBERT, AZ 85295(480) 813-7050(480) 813-3630 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Tina Cooley Staley O.d. NPPES

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

DR. TINA COOLEY STALEY O.D. (NPI 1114062668) is an individual optometrist in Gilbert, Arizona, licensed in Arizona (882) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1993).

NPPES Registry Identity

NPI1114062668

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. TINA COOLEY STALEYCredential: O.D.

Location Address1780 E BOSTON ST, STE 101Gilbert, AZ 85295-6244

Mailing Address1780 E Boston St Ste 101Gilbert, AZ 85295-6246 · (480) 813-7050 · Fax (480) 813-3630

Phone(480) 813-7050

Fax(480) 813-3630

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 1993

Enumeration DateFebruary 21, 2007

Last NPPES UpdateAugust 23, 2021

NPPES CertifiedAugust 23, 2021

✔ NPI 1114062668 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 AZ · 882

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.

1780 E BOSTON ST, Gilbert, AZ 85295

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida 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. Tina Cooley Staley O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527050152

PECOS Enrollment IDI20090908000023

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 Reassignment

Medicare enrollment records show Tina Cooley Staley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Care Clinic P.C.

Same address

Optometrist

1780 E BOSTON ST STE 101
Gilbert, AZ 85295

Reassigned Medicare billing, Arizona enrollment
3 clinicians in this Medicare group

NPI 1659515484 (480) 813-7050

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 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.

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.

191 services184 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.

163 services163 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.

103 services89 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.

78 services60 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).

72 services60 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.

53 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85295 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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 Tina Cooley Staley's NPI number?

The NPI number for Tina Cooley Staley is 1114062668. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Tina Cooley Staley located?

Tina Cooley Staley practices at 1780 E Boston St Ste 101, Gilbert, AZ 85295. The listed phone number is (480) 813-7050.

What is Tina Cooley Staley's specialty?

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

Is Tina Cooley Staley enrolled in Medicare?

Yes. Tina Cooley Staley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Cooley Staley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Cooley Staley reassigns Medicare benefits to Eye Care Clinic P.C. (Gilbert, AZ). The 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 Tina Cooley Staley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Cooley Staley accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Tina Cooley Staley 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 Tina Cooley Staley was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.