STEVEN SORENSON O.D.
NPI 1437507068
Optometrist in Indianapolis, IN

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment
90.42/100
CMS Quality Rating
5319 S EMERSON AVE, INDIANAPOLIS, IN 46237(317) 783-8700(317) 783-5987 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2018, Feb 6, 2017, Dec 15, 2016 (3 updates tracked since 2016).

About Steven Sorenson O.d. NPPES

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

STEVEN SORENSON O.D. (NPI 1437507068) is an individual optometrist in Indianapolis, Indiana, licensed in Indiana (18003957A) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1437507068
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEVEN SORENSONCredential: O.D.
Location Address5319 S EMERSON AVEIndianapolis, IN 46237
Mailing AddressPo Box 549Wabash, IN 46992-0549 · (260) 569-9550 · Fax (260) 569-0760
Fax(317) 783-5987
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2016
Enumeration DateMay 24, 2016
Last NPPES UpdateAugust 15, 20183 updates tracked since enumeration
NPI 1437507068 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 IN · 18003957A
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.

5319 S EMERSON AVE, Indianapolis, IN 46237

Other Identifiers 1

Medicaid201360350IN

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

Steven Sorenson 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 ID5496045908
PECOS Enrollment IDI20160610001568
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
346 services309 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.
326 services262 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.
145 services124 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).
94 services87 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.
43 services40 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.
39 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

90.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.07

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%129 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 suppliers20 claims20 services$49.74 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 5

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

Optometrist
5319 S EMERSON AVE
INDIANAPOLIS, IN 46237
Ophthalmology
5319 S EMERSON AVE
INDIANAPOLIS, IN 46237
Ophthalmology
5319 S EMERSON AVE
INDIANAPOLIS, IN 46237
Optometrist
5319 S EMERSON AVE
INDIANAPOLIS, IN 46237
Optometrist
5319 S EMERSON AVE
INDIANAPOLIS, IN 46237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437507068, enumerated as an "individual" on May 24, 2016.

The provider is located at 5319 S EMERSON AVE INDIANAPOLIS, IN 46237 and the phone number is (317) 783-8700.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.