DR. STEPHEN E HESS OD
NPI 1740257625
Optometrist in Warminster, PA
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
Specialties & Licenses
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.
Other Identifiers 3
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.
Areas of Expertise CMS Part B claims 14
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Controlling High Blood Pressure | 0% | 451 |
| Diabetes: Eye Exam | 90% | 231 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 99% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 224 |
| Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 71% | 35 |
| Documentation of Current Medications in the Medical Record | 100% | 1962 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 0% | 238 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 0% | 1320 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% | 350 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 350 |
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.
WARMINSTER, PA 18974
WARMINSTER, PA 18974
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740257625, enumerated as an "individual" on March 01, 2006.
The provider is located at 600 LOUIS DR STE 203-A WARMINSTER, PA 18974 and the phone number is (215) 443-8580.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.
