DR. STEPHEN LEWIS EBERSOLE OD
NPI 1235174889
Optometrist in Lewiston, ME

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
168 EAST AVE, OPTOMETRIC ASSOCIATES, LEWISTON, ME 04240(207) 784-3564(207) 782-2541 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Lewis Ebersole Od NPPES

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

DR. STEPHEN LEWIS EBERSOLE OD (NPI 1235174889) is an individual optometrist in Lewiston, Maine, licensed in Maine (OPT832TA6) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1997).

NPPES Registry Identity

NPI1235174889
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHEN LEWIS EBERSOLECredential: OD
Location Address168 EAST AVE, OPTOMETRIC ASSOCIATESLewiston, ME 04240
Mailing Address168 East Ave, Optomeric Associates PaLewiston, ME 04240-5626 · (207) 784-3564 · Fax (207) 782-2541
Fax(207) 782-2541
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1997
Enumeration DateJune 18, 2006
Last NPPES UpdateJanuary 4, 2011
NPI 1235174889 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 ME · OPT832TA6 Licensed in ME · 832TA
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.
168 EAST AVE, Lewiston, ME 04240

Other Identifiers 3

Medicare UPINU72087ME
Medicare ID-Type UnspecifiedMM8154ME
Medicaid313250099ME

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 Lewis Ebersole Od 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 ID3971534892
PECOS Enrollment IDI20050830000576
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 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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,458 services15 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.
169 services164 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.
135 services106 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.
119 services117 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 services51 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).
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

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%62 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
1%404 patients1/55-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 4

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

Optometrist
168 EAST AVE
LEWISTON, ME 04240
Optometrist
168 EAST AVE
LEWISTON, ME 04240
Optometrist
168 EAST AVE
LEWISTON, ME 04240
Optometrist
168 EAST AVE
LEWISTON, ME 04240

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 Ebersole's NPI number?

The NPI number for Stephen Ebersole is 1235174889. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Stephen Ebersole located?

Stephen Ebersole practices at 168 East Ave Optometric Associates, Lewiston, ME 04240. The listed phone number is (207) 784-3564.

What is Stephen Ebersole's specialty?

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

Is Stephen Ebersole enrolled in Medicare?

Yes. Stephen Ebersole 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 Ebersole accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Stephen Ebersole 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 Ebersole was last updated on January 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.