DR. JAMES C STAUP III O.D.
NPI 1225067697
Optometrist in Owens Cross Roads, AL
About Dr. James C Staup Iii O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES C STAUP III O.D. (NPI 1225067697) is an individual optometrist in Owens Cross Roads, Alabama, licensed in Alabama (S-783-TA-295) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James C Staup Iii 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.
Medicare Billing Reassignment
Medicare enrollment records show James Staup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Owens Cross Roads, AL 35763
- Reassigned Medicare billing, Alabama enrollment
- 2 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 James Staup's NPI number?
The NPI number for James Staup is 1225067697. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is James Staup located?
James Staup practices at 6838 Highway 431 S Suite A, Owens Cross Roads, AL 35763. The listed phone number is (256) 534-3900.
What is James Staup's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is James Staup enrolled in Medicare?
Yes. James Staup 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.
Which organization bills Medicare for James Staup's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Staup reassigns Medicare benefits to South East Eyecare (Owens Cross Roads, AL). 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 James Staup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Staup accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list James Staup 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 James Staup was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.