1. Home
  2. Directory
  3. California
  4. Glendale
  5. Optometrist
  6. NPI Profile

DR. STACEY T. GIN O.D.
NPI 1619085149
Optometrist in Glendale, CA

Active since August 25, 2006PECOS Enrolled
308 E BROADWAY, GLENDALE, CA 91205(818) 243-1300(818) 243-1583 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacey T. Gin O.d. NPPES

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

DR. STACEY T. GIN O.D. (NPI 1619085149) is an individual optometrist in Glendale, California, licensed in California (13022) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2006).

NPPES Registry Identity

NPI1619085149
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STACEY T. GINCredential: O.D.
Location Address308 E BROADWAYGlendale, CA 91205-1011
Mailing Address308 E BroadwayGlendale, CA 91205-1011 · (818) 243-1300 · Fax (818) 243-1583
Phone(818) 243-1300
Fax(818) 243-1583
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2006
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 10, 2008
✔ NPI 1619085149 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 CA · 13022
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.
308 E BROADWAY, Glendale, CA 91205
Open in Google Maps ↗

Other Identifiers 2

Medicare PINWOP13022ACA
Medicare NSC6057140001CA

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 (PECOS)

Dr. Stacey T. Gin O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991895195
PECOS Enrollment IDI20071211000817
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.

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.
128 services123 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
108 services78 patients
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.
85 services85 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.
35 services31 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.
30 services29 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).
26 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91205 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%109 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 3

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

DR. ESTHER CHUNG O.D.
Optometrist (Low Vision Rehabilitation)
308 E BROADWAY
GLENDALE, CA 91205
Los Angeles County (818) 243-1300
DUANE DECROUPET OD A PC
Optometrist
308 E BROADWAY
GLENDALE, CA 91205
Los Angeles County (818) 243-1300
GLENDALE OPTOMETRIC CENTER
Optometrist
308 E BROADWAY
GLENDALE, CA 91205
Los Angeles County (818) 243-1300

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 Stacey Gin's NPI number?

The NPI number for Stacey Gin is 1619085149. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Stacey Gin located?

Stacey Gin practices at 308 E Broadway, Glendale, CA 91205. The listed phone number is (818) 243-1300.

What is Stacey Gin's specialty?

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

Is Stacey Gin enrolled in Medicare?

Yes. Stacey Gin is registered in the Medicare PECOS enrollment system.

What insurance does Stacey Gin 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 1 other insurer list Stacey Gin 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 Stacey Gin was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.