1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Optometrist
  6. NPI Profile

DR. STEPHEN L GAAL O.D.
NPI 1376569384
Optometrist in Charleston, WV

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1301 LEE ST E, CHARLESTON, WV 25301(304) 343-3363(304) 342-3311 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen L Gaal O.d. NPPES

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

DR. STEPHEN L GAAL O.D. (NPI 1376569384) is an individual optometrist in Charleston, West Virginia, licensed in West Virginia (930-OD) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1994).

NPPES Registry Identity

NPI1376569384
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHEN L GAALCredential: O.D.
Location Address1301 LEE ST ECharleston, WV 25301-1928
Mailing Address1301 Lee St ECharleston, WV 25301-1928 · (304) 343-3363 · Fax (304) 342-3311
Phone(304) 343-3363
Fax(304) 342-3311
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1994
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1376569384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WV · 930-OD
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.
1301 LEE ST E, Charleston, WV 25301
Open in Google Maps ↗

Other Identifiers 1

Other0801871Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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 L Gaal 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 ID2062304645
PECOS Enrollment IDI20100603000255
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 3

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

DR. WALTER SETH RAMSEY OD
Optometrist
1301 LEE ST E
CHARLESTON, WV 25301
Kanawha County (304) 343-3363
WALTER SETH RAMSEY
Optometrist
1301 LEE ST E
CHARLESTON, WV 25301
Kanawha County (304) 343-3363
DR. SUMMER D JONES O.D.
Optometrist
1301 LEE ST E
CHARLESTON, WV 25301
Kanawha County (304) 343-3363

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 Gaal's NPI number?

The NPI number for Stephen Gaal is 1376569384. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Stephen Gaal located?

Stephen Gaal practices at 1301 Lee St E, Charleston, WV 25301. The listed phone number is (304) 343-3363.

What is Stephen Gaal's specialty?

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

Is Stephen Gaal enrolled in Medicare?

Yes. Stephen Gaal 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 Gaal 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, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Stephen Gaal 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 Gaal was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.