DR. STEPHEN THOMAS REINSCHMIDT O.D.
NPI 1205161387
Optometrist in Boise, ID

Active since October 07, 2009PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
5680 W GAGE ST, BOISE, ID 83706(208) 377-3937(208) 377-9455 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Stephen Thomas Reinschmidt O.d. NPPES

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

DR. STEPHEN THOMAS REINSCHMIDT O.D. (NPI 1205161387) is an individual optometrist in Boise, Idaho, licensed in Idaho (ODP-100417) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Meridian, and is a graduate of Pacific University - College Of Optometry (2012).

NPPES Registry Identity

NPI1205161387
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHEN THOMAS REINSCHMIDTCredential: O.D.
Location Address5680 W GAGE STBoise, ID 83706-1326
Mailing Address5680 W Gage StBoise, ID 83706-1326 · (208) 377-3937 · Fax (208) 377-9455
Fax(208) 377-9455
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2012
Enumeration DateOctober 7, 2009
Last NPPES UpdateMay 8, 20234 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1205161387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in ID · ODP-100417 Licensed in AK · 323
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.

5680 W GAGE ST, Boise, ID 83706

Secondary Practice Location 1

Location 12720 W Cherry LnMeridian, ID 83642-1137 · Phone (208) 377-3937 · Fax (208) 377-9455

Other Identifiers 2

Medicaid1205161387ID
OtherAPPLIED FORAK · Medicaid, Medicare Pin (applied For)

Accepted 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. Stephen Thomas Reinschmidt 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 ID5395991178
PECOS Enrollment IDI20171204002647
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.
272 services272 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.
268 services243 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
158 services125 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).
67 services61 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.
54 services49 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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.

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.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost52.06

Other Providers at the Same Location NPPES 10

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

Durable Medical Equipment & Medical Supplies
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Optometrist
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Clinic/Center (Ambulatory Surgical)
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706

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 Reinschmidt's NPI number?

The NPI number for Stephen Reinschmidt is 1205161387. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Stephen Reinschmidt located?

Stephen Reinschmidt practices at 5680 W Gage St, Boise, ID 83706. The listed phone number is (208) 377-3937.

What is Stephen Reinschmidt's specialty?

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

Is Stephen Reinschmidt enrolled in Medicare?

Yes. Stephen Reinschmidt 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 Stephen Reinschmidt accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Moda Health Plan, Inc., Providence Health Plan and Select Health list Stephen Reinschmidt 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 Reinschmidt was last updated on May 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.