DR. STEVEN JOHN ST. MARIE O.D.
NPI 1114920170
Optometrist in St Albans, VT

Q: What is Steven St. Marie's NPI number?

The NPI number for Steven St. Marie is 1114920170. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Steven St. Marie'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 Steven St. Marie was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 24, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

128 FISHER POND RD, ST ALBANS, VT 05478(802) 524-9561(802) 524-6060 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Steven John St. Marie O.d. NPPES

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

DR. STEVEN JOHN ST. MARIE O.D. (NPI 1114920170) is an individual optometrist in St Albans, Vermont, licensed in Vermont (263) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medical Center Inc, and is a graduate of Pennsylvania College Of Optometry (1994).

NPPES Registry Identity

NPI1114920170

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. STEVEN JOHN ST. MARIECredential: O.D.

Location Address128 FISHER POND RDSt Albans, VT 05478-6058

Mailing Address128 Fisher Pond RdSt Albans, VT 05478-6058 · (802) 524-9561 · Fax (802) 524-6060

Phone(802) 524-9561

Fax(802) 524-6060

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 1994

Enumeration DateMay 24, 2005

Last NPPES UpdateMarch 11, 2022

NPPES CertifiedMarch 11, 2022

✔ NPI 1114920170 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 VT · 263

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.

128 FISHER POND RD, St Albans, VT 05478

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Other Identifiers 5

OtherP00179932VT · Railroad Medicare

MedicaidOVNO948VT

Other59V014VT · Mvp Healthcare

Other0454604001VT · Cigna Healthcare

Other28036VT · Blue Cross/blue Shield Vt

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Steven John St. Marie 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 ID4688622962

PECOS Enrollment IDI20050107000023

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 12

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 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.

681 services678 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.

359 services345 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.

347 services276 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.

198 services182 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.

148 services120 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).

144 services142 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

120 services120 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.

118 services117 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

33 services31 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.

26 services25 patients

Removal of foreign body from external eye (conjunctiva) 65205

This procedure involves the careful extraction of a foreign object from the surface of your eye, specifically the conjunctiva. This could be dust, metal, or any small particle. A healthcare professional uses specialized tools to gently remove the object, thus alleviating discomfort and preventing potential damage to your eye.

14 services13 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470024

Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 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 $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%84 patients5/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

87%277 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

LAURA LYNN WERNER O.D.

Optometrist

128 FISHER POND RD
SAINT ALBANS, VT 05478

Franklin County (802) 524-9561

NORTHERN VALLEY EYECARE, INC.

Optometrist

128 FISHER POND RD
SAINT ALBANS, VT 05478

Franklin County (802) 524-9561

VERMONT CENTER FOR VISION DEVELOPMENT PLLC

Optometrist

128 FISHER POND RD
SAINT ALBANS, VT 05478

Franklin County (802) 404-7154

DANIEL PHILLIPS

Optometrist

128 FISHER POND RD
SAINT ALBANS, VT 05478

Franklin County (802) 524-9561

NORTHWESTERN MEDICAL CENTER, INC.

Dermatology

128 FISHER POND RD, 2ND FLOOR
SAINT ALBANS, VT 05478

Franklin County (802) 524-9707

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 Steven St. Marie's NPI number?

The NPI number for Steven St. Marie is 1114920170. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Steven St. Marie located?

Steven St. Marie practices at 128 Fisher Pond Rd, St Albans, VT 05478. The listed phone number is (802) 524-9561.

What is Steven St. Marie's specialty?

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

Is Steven St. Marie enrolled in Medicare?

Yes. Steven St. Marie 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 Steven St. Marie accept?

Health plans from Anthem Blue Cross and Blue Shield list Steven St. Marie 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.

Is Steven St. Marie affiliated with any hospitals?

According to CMS data, Steven St. Marie is affiliated with Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Steven St. Marie was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.