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DAVIS MARSHALL STALEY
NPI 1497051858
Optometrist in Anchorage, AK

Active since February 02, 2011PECOS Enrolled
83.23/100
CMS Quality Rating
330 W DIMOND BLVD, ANCHORAGE, AK 99515(907) 267-7102(907) 349-7039 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2023, Nov 5, 2019 (2 updates tracked since 2019).

About Davis Marshall Staley NPPES

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

DAVIS MARSHALL STALEY (NPI 1497051858) is an individual optometrist in Anchorage, Alaska, licensed in Alaska (106884) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497051858
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVIS MARSHALL STALEY
Location Address330 W DIMOND BLVDAnchorage, AK 99515-1903
Mailing Address330 W Dimond BlvdAnchorage, AK 99515-1903 · (907) 267-7102 · Fax (907) 349-7039
Phone(907) 267-7102
Fax(907) 349-7039
Sole ProprietorYes
Enumeration DateFebruary 2, 2011
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1497051858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AK · 106884
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
330 W DIMOND BLVD, Anchorage, AK 99515
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11001 S Knik Goose Bay RdWasilla, AK 99654 · Phone (907) 631-7604
Location 23235 S Leavitt StChicago, IL 60608-6016 · Phone (520) 456-6030

Other Identifiers 1

Other920086076Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davis Marshall Staley 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.

Medicare Billing Reassignment

Medicare enrollment records show Davis Staley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alaska Native Tribal Health Consortium
3.9 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99515 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

83.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.2
Promoting Interoperability100
Improvement Activities40
Cost50.24

Other Providers at the Same Location NPPES 11

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

TERESA JO BAHN PHARMD
Pharmacist
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-7116
LINDA HAMM RPH
Pharmacist
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-7117
NAZILYA A SINYAWSKI
Pharmacist
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-7117
AIMEE YOUNG PHARMD
Pharmacist
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-7160
ETHAN NGUYEN
Pharmacist
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-7116
JOHN WALLACE RASMUSSEN BS PHARMACY
Pharmacist
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 276-7116
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-7160
DR. NICHELL MOORE PHARM.D.
Pharmacist
330 W DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-7116

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 Davis Staley's NPI number?

The NPI number for Davis Staley is 1497051858. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Davis Staley located?

Davis Staley practices at 330 W Dimond Blvd, Anchorage, AK 99515. The listed phone number is (907) 267-7102.

What is Davis Staley's specialty?

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

Is Davis Staley enrolled in Medicare?

Yes. Davis Staley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Davis Staley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davis Staley reassigns Medicare benefits to Alaska Native Tribal Health Consortium (Anchorage, AK). 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 Davis Staley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Davis Staley accept?

Health plans from Providence Health Plan list Davis Staley 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 Davis Staley was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.