DR. STEPHEN S. BYLSMA M.D.
NPI 1265435325
Ophthalmology in Santa Maria, CA

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
65.32/100
CMS Quality Rating
910 E STOWELL RD, SANTA MARIA, CA 93454(805) 925-2637(805) 347-0033 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen S. Bylsma M.d. NPPES

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

DR. STEPHEN S. BYLSMA M.D. (NPI 1265435325) is an individual ophthalmology provider in Santa Maria, California, licensed in California (G71086) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1989).

NPPES Registry Identity

NPI1265435325
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN S. BYLSMACredential: M.D.
Location Address910 E STOWELL RDSanta Maria, CA 93454-7001
Mailing Address910 E Stowell RdSanta Maria, CA 93454-7001 · (805) 925-2637 · Fax (805) 347-0033
Fax(805) 347-0033
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1989
Enumeration DateMay 23, 2005
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
NPI 1265435325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G71086
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.
910 E STOWELL RD, Santa Maria, CA 93454

Other Identifiers 3

Medicaid00G710860CA
Other1312330001CA · Medicare Dmerc
Other180039114CA · Medicare Railroad

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 S. Bylsma M.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 ID8224088026
PECOS Enrollment IDI20110203000495
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 20

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.
1,029 services719 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).
805 services701 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.
773 services564 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.
497 services492 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
412 services369 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.
326 services296 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
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.

65.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost54.34

Other Providers at the Same Location NPPES 9

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

Specialist
910 E STOWELL RD
SANTA MARIA, CA 93454
Optometrist
910 E STOWELL RD
SANTA MARIA, CA 93454
Optometrist
910 E STOWELL RD
SANTA MARIA, CA 93454
Optometrist
910 E STOWELL RD
SANTA MARIA, CA 93454
Ophthalmology
910 E STOWELL RD
SANTA MARIA, CA 93454
Eyewear Supplier
910 E STOWELL RD
SANTA MARIA, CA 93454
Ophthalmology
910 E STOWELL RD
SANTA MARIA, CA 93454
Ophthalmology
910 E STOWELL RD
SANTA MARIA, CA 93454

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 Bylsma's NPI number?

The NPI number for Stephen Bylsma is 1265435325. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Stephen Bylsma located?

Stephen Bylsma practices at 910 E Stowell Rd, Santa Maria, CA 93454. The listed phone number is (805) 925-2637.

What is Stephen Bylsma's specialty?

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

Is Stephen Bylsma enrolled in Medicare?

Yes. Stephen Bylsma 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 Bylsma accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Stephen Bylsma 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 Bylsma was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.