STEPHEN J PRUETT
NPI 1427070259
Optometrist in Racine, WI
About Stephen J Pruett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN J PRUETT (NPI 1427070259) is an individual optometrist in Racine, Wisconsin, licensed in Wisconsin (1963-035) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen J Pruett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephen Pruett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mt Pleasant, WI 53177
- Reassigned Medicare billing, Wisconsin enrollment
- 8 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RACINE, WI 53405
MOUNT PLEASANT, WI 53405
RACINE, WI 53405
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 Pruett's NPI number?
The NPI number for Stephen Pruett is 1427070259. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Stephen Pruett located?
Stephen Pruett practices at 3805B Spring St Suite 140, Racine, WI 53405. The listed phone number is (262) 637-8835.
What is Stephen Pruett's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Stephen Pruett enrolled in Medicare?
Yes. Stephen Pruett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephen Pruett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Pruett reassigns Medicare benefits to Eye Centers Of Racine And Kenosha Ltd (Mt Pleasant, WI). 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 Stephen Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Pruett accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 Pruett 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 Pruett was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Stephen J Pruett · NPI 1427070259
Optometrist provider in Racine, Wisconsin. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1427070259 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1963-035 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3805B SPRING ST, SUITE 140, Racine, WI 53405-1641
- **Phone:** (262) 637-8835 · **Fax:** (262) 635-8027
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eye Centers Of Racine And Kenosha Ltd (NPI 1710905781, Mt Pleasant, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 000252480 (WI); Medicaid 38583200 (WI); Medicare UPIN U20263 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1427070259) · Data from the CMS NPPES public registry.