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DALLAS STEVENS
NPI 1174775332
Optometrist in Rexburg, ID

Active since October 21, 2008PECOS EnrolledAccepts Medicare Assignment
1232 PLEASANTVIEW, REXBURG, ID 83440(208) 709-7314 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dallas Stevens NPPES

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

DALLAS STEVENS (NPI 1174775332) is an individual optometrist in Rexburg, Idaho, licensed in Idaho (ODP-100186) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Pacific Medical College (2009).

NPPES Registry Identity

NPI1174775332
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDALLAS STEVENS
Location Address1232 PLEASANTVIEWRexburg, ID 83440-5316
Mailing Address4255 W Sugarberry CtEagle, ID 83616-7266 · (208) 709-7314
Phone(208) 709-7314
Sole ProprietorNo
Medical School CMSPacific Medical CollegeGraduated 2009
Enumeration DateOctober 21, 2008
Last NPPES UpdateMay 1, 2020
NPPES CertifiedMay 1, 2020
✔ NPI 1174775332 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 ID · ODP-100186
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.
1232 PLEASANTVIEW, Rexburg, ID 83440
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Accepted Insurance

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

Dallas Stevens 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 ID5597818120
PECOS Enrollment IDI20090729000936
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 2

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.
23 services23 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 Dallas Stevens's NPI number?

The NPI number for Dallas Stevens is 1174775332. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Dallas Stevens located?

Dallas Stevens practices at 1232 Pleasantview, Rexburg, ID 83440. The listed phone number is (208) 709-7314.

What is Dallas Stevens's specialty?

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

Is Dallas Stevens enrolled in Medicare?

Yes. Dallas Stevens 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 Dallas Stevens accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, PacificSource Health Plans and Providence Health Plan list Dallas Stevens 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 Dallas Stevens was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.