MR. MARK ANDREW STEFANI OD
NPI 1639292865
Optometrist in Fraser, MI

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
32925 GROESBECK HIGHWAY, FRASER, MI 48026(586) 293-8888(586) 296-0726 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Andrew Stefani Od NPPES

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

MR. MARK ANDREW STEFANI OD (NPI 1639292865) is an individual optometrist in Fraser, Michigan, licensed in Michigan (4901003690) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (1991).

NPPES Registry Identity

NPI1639292865
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MARK ANDREW STEFANICredential: OD
Location Address32925 GROESBECK HIGHWAYFraser, MI 48026
Mailing Address32925 Groesbeck HighwayFraser, MI 48026 · (586) 293-8888 · Fax (586) 296-0726
Fax(586) 296-0726
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1991
Enumeration DateApril 10, 2007
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1639292865 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 MI · 4901003690
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.

32925 GROESBECK HIGHWAY, Fraser, MI 48026

Secondary Practice Locations 5

Location 13602 15 Mile RdSterling Hts, MI 48310-5355 · Phone (586) 977-9010 · Fax (586) 413-7870
Location 271150 Van Dyke RdBruce Twp, MI 48065-5436 · Phone (586) 752-9898 · Fax (586) 372-8905
Location 351026 Van Dyke AveShelby Twp, MI 48316-4436 · Phone (586) 254-9620 · Fax (586) 884-7867
Location 4211 N State StOscoda, MI 48750-1715 · Phone (989) 739-2020 · Fax (989) 739-9215
Location 567205 S Main StRichmond, MI 48062-1919 · Phone (586) 727-7555 · Fax (586) 248-5056

Other Identifiers 5

Other58801Davis Vision
Other900E06513Bcbs
Other110955Eyemed
Other4351Davis Vision
Medicaid3404800MI

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

Mr. Mark Andrew Stefani Od 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 ID244255990
PECOS Enrollment IDI20080430000635
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 3

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.
335 services327 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.
164 services163 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.
95 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48026 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 2

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

Optometrist
32925 GROESBECK HIGHWAY
FRASER, MI 48026
Optometrist
32925 GROESBECK HIGHWAY
FRASER, MI 48026

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 Mark Stefani's NPI number?

The NPI number for Mark Stefani is 1639292865. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Mark Stefani located?

Mark Stefani practices at 32925 Groesbeck Highway, Fraser, MI 48026. The listed phone number is (586) 293-8888.

What is Mark Stefani's specialty?

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

Is Mark Stefani enrolled in Medicare?

Yes. Mark Stefani 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 Mark Stefani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross Blue Shield of Wyoming and 8 other insurers list Mark Stefani 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 Mark Stefani was last updated on May 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.