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DR. STACI DAWN ECENBARGER O.D.
NPI 1861449225
Optometrist in Wyoming, MI

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
5751 BYRON CENTER AVE SW, SUITE V, WYOMING, MI 49519(616) 532-2020(616) 532-2022 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Staci Dawn Ecenbarger O.d. NPPES

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

DR. STACI DAWN ECENBARGER O.D. (NPI 1861449225) is an individual optometrist in Wyoming, Michigan, licensed in Michigan (4901004004) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1999).

NPPES Registry Identity

NPI1861449225
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STACI DAWN ECENBARGERCredential: O.D.
Location Address5751 BYRON CENTER AVE SW, SUITE VWyoming, MI 49519-9621
Mailing Address5751 Byron Center Ave Sw, Suite VWyoming, MI 49519-9621 · (616) 532-2020 · Fax (616) 532-2022
Phone(616) 532-2020
Fax(616) 532-2022
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1999
Enumeration DateMay 30, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1861449225 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 MI · 4901004004
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.
5751 BYRON CENTER AVE SW, Wyoming, MI 49519
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Other Identifiers 5

Medicare PINP32620006MI
Medicare UPINU82022MI
Medicaid5189909MI
Medicare ID-Type Unspecified0N76760WI
Medicare PIN0P32620MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, 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. Staci Dawn Ecenbarger 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 ID1759391626
PECOS Enrollment IDI20060424000172
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 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
35 services35 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.
18 services15 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

ECENBARGER EYE CARE, LLC
Optometrist
5751 BYRON CENTER AVE SW, SUITE V
WYOMING, MI 49519
Kent County (616) 532-2020
DR. SCOTT RICHARD ECENBARGER O.D.
Optometrist
5751 BYRON CENTER AVE SW, SUITE V
WYOMING, MI 49519
Kent County (616) 532-2020

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 Staci Ecenbarger's NPI number?

The NPI number for Staci Ecenbarger is 1861449225. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Staci Ecenbarger located?

Staci Ecenbarger practices at 5751 Byron Center Ave SW Suite V, Wyoming, MI 49519. The listed phone number is (616) 532-2020.

What is Staci Ecenbarger's specialty?

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

Is Staci Ecenbarger enrolled in Medicare?

Yes. Staci Ecenbarger 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 Staci Ecenbarger accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Staci Ecenbarger 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 Staci Ecenbarger was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.