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STEPHEN J PRUETT
NPI 1427070259
Optometrist in Racine, WI

Active since July 24, 2006PECOS Enrolled
78.15/100
CMS Quality Rating
3805B SPRING ST, SUITE 140, RACINE, WI 53405(262) 637-8835(262) 635-8027 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1427070259
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEPHEN J PRUETT
Location Address3805B SPRING ST, SUITE 140Racine, WI 53405-1641
Mailing Address3805b Spring St, Suite 140Racine, WI 53405-1641 · (262) 637-8835 · Fax (262) 635-8027
Phone(262) 637-8835
Fax(262) 635-8027
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateApril 18, 2011
✔ NPI 1427070259 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 WI · 1963-035
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.
3805B SPRING ST, Racine, WI 53405
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Other Identifiers 3

Medicare ID-Type Unspecified000252480WI
Medicaid38583200WI
Medicare UPINU20263WI

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 (PECOS)

Stephen J Pruett 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 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 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.
426 services404 patients
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.
279 services188 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.
170 services118 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.
133 services133 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).
98 services94 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
67 services61 patients

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.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

78.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost27.17

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.

BRUCE A LUCCAS, MD, LLC
Family Medicine
3805B SPRING ST, STE 130
RACINE, WI 53405
Racine County (262) 631-8750
INDER PAUL SINGH
Ophthalmology
3805B SPRING ST, SUITE 140
RACINE, WI 53405
Racine County (262) 637-8835
AHMED SIDDIG MUHAMMED AHMED MD
Psychiatry & Neurology (Neurology)
3805B SPRING ST, STE 320
RACINE, WI 53405
Racine County (262) 687-8322
DRS DECHECK AND MATACZYNSKI MD SC
Family Medicine
3805B SPRING ST, SUITE250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
JAMES SCARPACI MSW LCSW CADC III
Social Worker (Clinical)
3805B SPRING ST, SUITE 20
MOUNT PLEASANT, WI 53405
Racine County (262) 687-2222
DR. JAMES DEAN MATACZYNSKI MD
Family Medicine
3805B SPRING ST, SUITE 250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
MICHAEL DEROSE LCSW
Social Worker (Clinical)
3805B SPRING ST, SUITE 320
MOUNT PLEASANT, WI 53405
Racine County (262) 687-2222
STEPHEN V. MAWN M.D.
Preventive Medicine (Occupational Medicine)
3805B SPRING ST, SUITE 260
RACINE, WI 53405
Racine County (262) 687-6150

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.

What insurance does Stephen Pruett 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 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.