DR. DAVID THOMAS STARK MD, PHD
NPI 1528491990
Ophthalmology in Visalia, CA

Active since August 20, 2013PECOS EnrolledAccepts Medicare Assignment
75.46/100
CMS Quality Rating
2830 W MAIN ST, VISALIA, CA 93291(559) 636-1000(599) 636-3937 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2020, Apr 17, 2017 (2 updates tracked since 2017).

About Dr. David Thomas Stark Md, Phd NPPES

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

DR. DAVID THOMAS STARK MD, PHD (NPI 1528491990) is an individual ophthalmology provider in Visalia, California, licensed in California (A133113) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2013).

NPPES Registry Identity

NPI1528491990
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DAVID THOMAS STARKCredential: MD, PHD
Location Address2830 W MAIN STVisalia, CA 93291-4331
Mailing Address2830 W Main StVisalia, CA 93291-4331 · (559) 636-1000 · Fax (599) 636-3937
Fax(599) 636-3937
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2013
Enumeration DateAugust 20, 2013
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
NPI 1528491990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A133113
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2830 W MAIN ST, Visalia, CA 93291

Other Identifiers 1

OtherA133113CA · Physician And Surgeon License

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. David Thomas Stark Md, Phd 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 ID8325460561
PECOS Enrollment IDI20200617001167
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 26

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
761 services479 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.
689 services478 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.
653 services435 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
502 services406 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
501 services404 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
320 services203 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

75.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.66
Promoting Interoperability61
Improvement Activities40

Reported Quality Measures

Screening for Osteoporosis for Women Aged 65-85 Years of Age
100%249 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.

Other Providers at the Same Location NPPES 10

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

Eyewear Supplier
2830 W MAIN ST
VISALIA, CA 93291
Eyewear Supplier
2830 W MAIN ST
VISALIA, CA 93291
Eyewear Supplier
2830 W MAIN ST
VISALIA, CA 93291
Optometrist
2830 W MAIN ST
VISALIA, CA 93291
Ophthalmology
2830 W MAIN ST
VISALIA, CA 93291
Optometrist
2830 W MAIN ST
VISALIA, CA 93291
Ophthalmology
2830 W MAIN ST
VISALIA, CA 93291
Ophthalmology
2830 W MAIN ST
VISALIA, CA 93291

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 David Stark's NPI number?

The NPI number for David Stark is 1528491990. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Where is David Stark located?

David Stark practices at 2830 W Main St, Visalia, CA 93291. The listed phone number is (559) 636-1000.

What is David Stark's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Stark enrolled in Medicare?

Yes. David Stark 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.

When was this NPI record last updated?

The NPPES record for David Stark was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.