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DR. STEPHEN DIMARCO O.D.
NPI 1609879576
Optometrist in Mount Bethel, PA

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
9 MOUNT BETHEL PLZ, MOUNT BETHEL, PA 18343(570) 897-5911(570) 897-5908 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Dimarco O.d. NPPES

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

DR. STEPHEN DIMARCO O.D. (NPI 1609879576) is an individual optometrist in Mount Bethel, Pennsylvania, licensed in Pennsylvania (OEG000111) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1990).

NPPES Registry Identity

NPI1609879576
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHEN DIMARCOCredential: O.D.
Location Address9 MOUNT BETHEL PLZMount Bethel, PA 18343-5212
Mailing Address9 Mount Bethel PlzMount Bethel, PA 18343-5212 · (570) 897-5911 · Fax (570) 897-5908
Phone(570) 897-5911
Fax(570) 897-5908
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1990
Enumeration DateMay 24, 2005
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1609879576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OEG000111✔ Licensed in NJ · 27TO00002800✔ Licensed in NJ · 27OA00505400
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.
9 MOUNT BETHEL PLZ, Mount Bethel, PA 18343
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Other Identifiers 12

Other0727860001PA · Health Now
Other1253981001PA · Cigna Healthcare
Other02886800PA · Capital Blue Cross
Other232753266PA · Horizon
Other396396PA · Nat'l. Vision Admin.
Other751252PA · Highmark Blue Shield
Other02095801PA · Capital Blue Cross
Other232753266PA · Vision Service Plan
Other289678PA · Private Healthcare System
Other465212PA · Aetna
Other751252PA · Keystone
OtherPA07149PA · Vision Benefits Of Americ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 and accepts Medicare assignment

Dr. Stephen Dimarco 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 ID840295077
PECOS Enrollment IDI20060922000019
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 4

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 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.
343 services199 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 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.
16 services16 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18343 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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
90%20 patients4/55-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

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

MT BETHEL EYE CARE P C
Optometrist
9 MOUNT BETHEL PLZ
MOUNT BETHEL, PA 18343
Northampton County (570) 897-5911

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 Dimarco's NPI number?

The NPI number for Stephen Dimarco is 1609879576. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Stephen Dimarco located?

Stephen Dimarco practices at 9 Mount Bethel Plz, Mount Bethel, PA 18343. The listed phone number is (570) 897-5911.

What is Stephen Dimarco's specialty?

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

Is Stephen Dimarco enrolled in Medicare?

Yes. Stephen Dimarco 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.

What insurance does Stephen Dimarco accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Stephen Dimarco 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 Dimarco was last updated on August 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.