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BRYAN ANDREW STAM O.D.
NPI 1245239581
Optometrist in Jacksonville, FL

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
10915 BAYMEADOWS RD STE 110, JACKSONVILLE, FL 32256(904) 647-9655(904) 647-9611 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bryan Andrew Stam O.d. NPPES

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

BRYAN ANDREW STAM O.D. (NPI 1245239581) is an individual optometrist in Jacksonville, Florida, licensed in Florida (OPC 3453) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245239581
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRYAN ANDREW STAMCredential: O.D.
Location Address10915 BAYMEADOWS RD STE 110Jacksonville, FL 32256-9131
Mailing Address10915 Baymeadows Rd Ste 110Jacksonville, FL 32256-9131 · (904) 647-9655 · Fax (904) 647-9611
Phone(904) 647-9655
Fax(904) 647-9611
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1245239581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC 3453
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.
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License OPC 3453 (FL)
10915 BAYMEADOWS RD STE 110, Jacksonville, FL 32256
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Other Identifiers 2

Medicaid620556900FL
Medicaid620603400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Bryan Andrew Stam 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 ID6608965470
PECOS Enrollment IDI20100616000672
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.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Stam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Couzens Stam Domingo PA
8.7 mi
Optometrist
905 BEACH BLVD, SUITE B
Jacksonville Beach, FL 32250
  • Reassigned Medicare billing, Florida enrollment
NPI 1003955568 (904) 246-4831

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 7

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 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.
69 services59 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.
35 services25 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.
32 services32 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.
25 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Bryan Stam's NPI number?

The NPI number for Bryan Stam is 1245239581. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Bryan Stam located?

Bryan Stam practices at 10915 Baymeadows Rd Ste 110, Jacksonville, FL 32256. The listed phone number is (904) 647-9655.

What is Bryan Stam's specialty?

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

Is Bryan Stam enrolled in Medicare?

Yes. Bryan Stam 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 Bryan Stam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Stam reassigns Medicare benefits to Couzens Stam Domingo PA (Jacksonville Beach, FL). 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 Bryan Stam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Stam accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 10 other insurers list Bryan Stam 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 Bryan Stam was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.