DR. STEPHEN E HESS OD
NPI 1740257625
Optometrist in Warminster, PA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
85.5/100
CMS Quality Rating
600 LOUIS DR, STE 203-A, WARMINSTER, PA 18974(215) 443-8580(215) 672-7526 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stephen E Hess Od NPPES

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

DR. STEPHEN E HESS OD (NPI 1740257625) is an individual optometrist in Warminster, Pennsylvania, licensed in Pennsylvania (OEG001479) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2004).

NPPES Registry Identity

NPI1740257625
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHEN E HESSCredential: OD
Location Address600 LOUIS DR, STE 203-AWarminster, PA 18974-2844
Mailing Address600 Louis Dr, Ste 203-aWarminster, PA 18974-2844 · (215) 443-8580 · Fax (215) 672-7526
Fax(215) 672-7526
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2004
Enumeration DateMarch 1, 2006
Last NPPES UpdateSeptember 3, 2009
NPI 1740257625 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 PA · OEG001479
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.
600 LOUIS DR, Warminster, PA 18974

Other Identifiers 3

Medicare UPINV01487PA
Medicare PIN083726RK6PA
Medicare PIN083726ZCFNJ

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

Dr. Stephen E Hess 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 ID3476512559
PECOS Enrollment IDI20050127000039
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 10

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.
497 services481 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
439 services329 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
268 services268 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
222 services198 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.
193 services193 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.
110 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18974 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality54.42
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
0%451 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
90%231 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%224 patients1/55-star benchmark: 91%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
71%35 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,962 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%238 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,320 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 350 patients
99%350 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 10

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

Case Management
600 LOUIS DR, SUITE 102A
WARMINSTER, PA 18974
Case Management
600 LOUIS DR, SUITE 101
WARMINSTER, PA 18974
Psychologist
600 LOUIS DR, SUITE 206 A
WARMINSTER, PA 18974
Chiropractor
600 LOUIS DR, SUITE 202
WARMINSTER, PA 18974
Nurse Practitioner (Primary Care)
600 LOUIS DR
WARMINSTER, PA 18974
Case Manager/Care Coordinator
600 LOUIS DR
WARMINSTER, PA 18974
Community/Behavioral Health
600 LOUIS DR, SUITE 207
WARMINSTER, PA 18974
Optometrist
600 LOUIS DR, SUITE 203A
WARMINSTER, PA 18974

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 Hess's NPI number?

The NPI number for Stephen Hess is 1740257625. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Stephen Hess located?

Stephen Hess practices at 600 Louis Dr Ste 203-A, Warminster, PA 18974. The listed phone number is (215) 443-8580.

What is Stephen Hess's specialty?

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

Is Stephen Hess enrolled in Medicare?

Yes. Stephen Hess 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 Hess 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 3 other insurers list Stephen Hess 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 Hess was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.