STEVEN K BIRGE O.D.
NPI 1801894340
Optometrist in Tompkinsville, KY

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
22 EXECUTIVE DR, TOMPKINSVILLE, KY 42167(270) 487-5741(270) 487-9664 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Steven K Birge O.d. NPPES

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

STEVEN K BIRGE O.D. (NPI 1801894340) is an individual optometrist in Tompkinsville, Kentucky, licensed in Kentucky (1101DT) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1987).

NPPES Registry Identity

NPI1801894340
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEVEN K BIRGECredential: O.D.
Location Address22 EXECUTIVE DRTompkinsville, KY 42167-7478
Mailing Address22 Executive DrTompkinsville, KY 42167-7478 · (270) 487-5741 · Fax (270) 487-9664
Fax(270) 487-9664
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1987
Enumeration DateJuly 8, 2005
Last NPPES UpdateJanuary 10, 2017
NPI 1801894340 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 KY · 1101DT
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.

22 EXECUTIVE DR, Tompkinsville, KY 42167

Other Identifiers 10

Other03322Spectera
Other1386776169KY · Medicare Group
Medicaid77011013KY
Medicare NSC4385920001
Medicaid1801894340KY
Other8846KY · Medicare P-10
Other5940Davis Vision
Medicaid1386776169KY
Other000000199522Bcbs
Other410049286Rr Medicare

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

Steven K Birge 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 ID446399190
PECOS Enrollment IDI20100129000358
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 8

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.
3,897 services34 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.
1,396 services12 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.
463 services456 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
118 services84 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.
73 services71 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).
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42167 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 supplier12 claims12 services$57.34 avg. paid by Medicare
Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens V2302
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims29 services$22.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Optometrist
22 EXECUTIVE DR
TOMPKINSVILLE, KY 42167
Optometrist
22 EXECUTIVE DR
TOMPKINSVILLE, KY 42167
Optometrist
22 EXECUTIVE DR
TOMPKINSVILLE, KY 42167
Optometrist
22 EXECUTIVE DR
TOMPKINSVILLE, KY 42167
Optometrist
22 EXECUTIVE DR
TOMPKINSVILLE, KY 42167

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 Steven Birge's NPI number?

The NPI number for Steven Birge is 1801894340. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Steven Birge located?

Steven Birge practices at 22 Executive Dr, Tompkinsville, KY 42167. The listed phone number is (270) 487-5741.

What is Steven Birge's specialty?

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

Is Steven Birge enrolled in Medicare?

Yes. Steven Birge 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 Steven Birge 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 1 other insurer list Steven Birge 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 Steven Birge was last updated on January 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.