PAUL B STAUDER
NPI 1750479457
Optometrist in Fairfield, IL

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
81.82/100
CMS Quality Rating
101 E DELAWARE ST, SUITE C, FAIRFIELD, IL 62837(618) 842-6516 Get Directions Write a Review

NPPES record last updated: February 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul B Stauder NPPES

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

PAUL B STAUDER (NPI 1750479457) is an individual optometrist in Fairfield, Illinois, licensed in Illinois (046009085) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1998).

NPPES Registry Identity

NPI1750479457
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL B STAUDER
Location Address101 E DELAWARE ST, SUITE CFairfield, IL 62837-2111
Mailing AddressPo Box 506Fairfield, IL 62837-0506 · (618) 842-6516
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1998
Enumeration DateOctober 10, 2006
Last NPPES UpdateFebruary 20, 2009
NPI 1750479457 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 IL · 046009085
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.
101 E DELAWARE ST, Fairfield, IL 62837

Other Identifiers 4

Medicare UPINU72547IL
Medicare ID-Type Unspecified509080IL
Medicaid046009085IL
Medicare NSC1254930001IL

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

Paul B Stauder 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 ID3678463775
PECOS Enrollment IDI20040319000851
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 18

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
5,486 services39 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
1,518 services13 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
1,259 services11 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.
1,241 services474 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
864 services204 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.
678 services593 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

81.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.64
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
99%132 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
0%65 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
94%3,820 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
96%159 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%984 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier32 claims32 services$57.07 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier32 claims64 services$42.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Paul Stauder's NPI number?

The NPI number for Paul Stauder is 1750479457. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Paul Stauder located?

Paul Stauder practices at 101 E Delaware St Suite C, Fairfield, IL 62837. The listed phone number is (618) 842-6516.

What is Paul Stauder's specialty?

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

Is Paul Stauder enrolled in Medicare?

Yes. Paul Stauder 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 Paul Stauder accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Paul Stauder 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 Paul Stauder was last updated on February 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.