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DR. CLAUDIA MARIE GONZALEZ O.D.
NPI 1770534109
Optometrist in Butler, PA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
STIRLING EYECARE CENTER, 166 POINT PLAZA, BUTLER, PA 16001(724) 285-2618(724) 285-7507 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Claudia Marie Gonzalez O.d. NPPES

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

DR. CLAUDIA MARIE GONZALEZ O.D. (NPI 1770534109) is an individual optometrist in Butler, Pennsylvania, licensed in Pennsylvania (OEG001085) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1992).

NPPES Registry Identity

NPI1770534109
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CLAUDIA MARIE GONZALEZCredential: O.D.
Location AddressSTIRLING EYECARE CENTER, 166 POINT PLAZAButler, PA 16001
Mailing AddressStirling Eyecare Center, 166 Point PlazaButler, PA 16001 · (724) 285-2618 · Fax (724) 285-7507
Phone(724) 285-2618
Fax(724) 285-7507
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1992
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1770534109 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 · OEG001085
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.
STIRLING EYECARE CENTER, Butler, PA 16001
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Other Names 1

Professional Name (2)Dr. Claudia Marie Higgins O.d.

Other Identifiers 6

Other410040111PA · Rr Medicare Provider #
OtherG053228PA · Highmark Id #
Other308237PA · Upmc Provider Id #
Other511511PA · Aetna Provider Id #
OtherOEG001085PA · State License
OtherU33411PA · Upin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Claudia Marie Gonzalez 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 ID840202404
PECOS Enrollment IDI20061204000404
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 6

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.
106 services64 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.
74 services37 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.
53 services35 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.
47 services36 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).
41 services32 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

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

MICHAEL W HIGGINS O.D.
Optometrist
STIRLING EYECARE CENTER, 166 POINT PLAZA
BUTLER, PA 16001
Butler County (724) 285-2618

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 Claudia Gonzalez's NPI number?

The NPI number for Claudia Gonzalez is 1770534109. It was assigned to this individual provider in the NPPES registry on May 12, 2006. The provider is also known as Dr. Claudia Marie Higgins O.D..

Where is Claudia Gonzalez located?

Claudia Gonzalez practices at Stirling Eyecare Center 166 Point Plaza, Butler, PA 16001. The listed phone number is (724) 285-2618.

What is Claudia Gonzalez's specialty?

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

Is Claudia Gonzalez enrolled in Medicare?

Yes. Claudia Gonzalez 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 Claudia Gonzalez 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 Claudia Gonzalez 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 Claudia Gonzalez was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.