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DR. STEPHEN SCOTT WILMARTH MD
NPI 1245240324
Ophthalmology in Roseville, CA

Active since August 09, 2006PECOS Enrolled
84.14/100
CMS Quality Rating
1830 SIERRA GARDENS DR, #100, ROSEVILLE, CA 95661(916) 782-2111(916) 677-0261 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen Scott Wilmarth Md NPPES

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

DR. STEPHEN SCOTT WILMARTH MD (NPI 1245240324) is an individual ophthalmology provider in Roseville, California, licensed in California (G37438) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245240324
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN SCOTT WILMARTHCredential: MD
Location Address1830 SIERRA GARDENS DR, #100Roseville, CA 95661
Mailing Address1700 Alhambra Blvd, Ste 202Sacramento, CA 95816 · (916) 731-8040 · Fax (916) 454-4152
Phone(916) 782-2111
Fax(916) 677-0261
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateNovember 5, 2012
✔ NPI 1245240324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G37438
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1830 SIERRA GARDENS DR, Roseville, CA 95661
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Other Identifiers 3

Medicare UPINA47084
MedicaidGR0042242CA
Medicare ID-Type UnspecifiedZZZ39906ZCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Scott Wilmarth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.
163 services162 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.
69 services65 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).
59 services58 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.
42 services42 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
37 services28 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.06
Promoting Interoperability100
Improvement Activities20
Cost74.07

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers14 claims14 services$67.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

TURNING POINT COMMUNITY PROGRAMS
Community/Behavioral Health
1830 SIERRA GARDENS DR, SUITE 10
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MAXVIEW, INC
Clinic/Center (Radiology)
1830 SIERRA GARDENS DR, SUITE 30
ROSEVILLE, CA 95661
Placer County (916) 691-4401
BRUCE A WINTERS M.D.
Ophthalmology
1830 SIERRA GARDENS DR, 100
ROSEVILLE, CA 95661
Placer County (916) 782-2111
BIANCA VIVIANA SOLORIO
Counselor (Mental Health)
1830 SIERRA GARDENS DR
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC.
Ophthalmology
1830 SIERRA GARDENS DR, SUITE 100
ROSEVILLE, CA 95661
Placer County (916) 782-2111
SATINDER K. BAINS O.D.
Optometrist
1830 SIERRA GARDENS DR, SUITE 100
ROSEVILLE, CA 95661
Placer County (916) 786-6966

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 Wilmarth's NPI number?

The NPI number for Stephen Wilmarth is 1245240324. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Stephen Wilmarth located?

Stephen Wilmarth practices at 1830 Sierra Gardens Dr #100, Roseville, CA 95661. The listed phone number is (916) 782-2111.

What is Stephen Wilmarth's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Stephen Wilmarth enrolled in Medicare?

Yes. Stephen Wilmarth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Wilmarth was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.