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DR. STACY LYNN TOVAREK O.D.
NPI 1659360394
Optometrist in Gig Harbor, WA

Active since October 16, 2005PECOS EnrolledAccepts Medicare Assignment
83.07/100
CMS Quality Rating
3220 UDDENBERG LN, SUITE 5, GIG HARBOR, WA 98335(253) 851-2020 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacy Lynn Tovarek O.d. NPPES

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

DR. STACY LYNN TOVAREK O.D. (NPI 1659360394) is an individual optometrist in Gig Harbor, Washington, licensed in Washington (03945) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2001).

NPPES Registry Identity

NPI1659360394
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STACY LYNN TOVAREKCredential: O.D.
Location Address3220 UDDENBERG LN, SUITE 5Gig Harbor, WA 98335-5128
Mailing AddressPo Box 2020Gig Harbor, WA 98335-4020 · (253) 851-2020
Phone(253) 851-2020
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2001
Enumeration DateOctober 16, 2005
Last NPPES UpdateJanuary 3, 2012
✔ NPI 1659360394 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 WA · 03945✔ Licensed in WY · 280T
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.
3220 UDDENBERG LN, Gig Harbor, WA 98335
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Other Names 1

Former Name (1)Dr. Stacy Lynn Paul O.d.

Other Identifiers 4

Medicare PINAB23219WA
Medicare UPINU87844WA
Medicaid2030989WA
OtherP00375324WA · Railroad Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Stacy Lynn Tovarek 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 ID3476548710
PECOS Enrollment IDI20050718000068
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 9

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.
263 services134 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
191 services191 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.
119 services114 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.
119 services118 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.
79 services67 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).
77 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98335 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

83.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.14
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%44 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
75%48 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
86%22 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
95%2,204 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 35% · 364 patients
35%364 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
84%64 patients
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 2

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

TERRI L ROSSI MS, GCFP, LMP, NCMMT
Massage Therapist
3220 UDDENBERG LN, SUITE 3
GIG HARBOR, WA 98335
Pierce County (206) 713-7169
DR. THOMAS W MITCHELL D.D.S., P.S.
Dentist
3220 UDDENBERG LN
GIG HARBOR, WA 98335
Pierce County (253) 858-2560

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 Stacy Tovarek's NPI number?

The NPI number for Stacy Tovarek is 1659360394. It was assigned to this individual provider in the NPPES registry on October 16, 2005. The provider is also known as Dr. Stacy Lynn Paul O.D..

Where is Stacy Tovarek located?

Stacy Tovarek practices at 3220 Uddenberg Ln Suite 5, Gig Harbor, WA 98335. The listed phone number is (253) 851-2020.

What is Stacy Tovarek's specialty?

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

Is Stacy Tovarek enrolled in Medicare?

Yes. Stacy Tovarek 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 Stacy Tovarek accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stacy Tovarek 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 Stacy Tovarek was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.