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DR. SAM M STUMER OD
NPI 1881756476
Optometrist in Rehoboth Beach, DE

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
18756 COASTAL HWY UNIT 2, REHOBOTH BEACH, DE 19971(302) 645-4789(844) 876-6925 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2023, Jun 3, 2021 (2 updates tracked since 2021).

About Dr. Sam M Stumer Od NPPES

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

DR. SAM M STUMER OD (NPI 1881756476) is an individual optometrist in Rehoboth Beach, Delaware, licensed in Delaware (I3-0011439) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mclean, and is a graduate of State University Of New York - State College Optometry (1991).

NPPES Registry Identity

NPI1881756476
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAM M STUMERCredential: OD
Location Address18756 COASTAL HWY UNIT 2Rehoboth Beach, DE 19971-6155
Mailing Address18756 Coastal Hwy Unit 2Rehoboth Beach, DE 19971-6155 · (302) 645-4789 · Fax (844) 876-6925
Phone(302) 645-4789
Fax(844) 876-6925
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1991
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1881756476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in DE · I3-0011439✔ Licensed in MD · DA1451✔ Licensed in VA · 0618000301
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.
18756 COASTAL HWY UNIT 2, Rehoboth Beach, DE 19971
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Secondary Practice Location 1

Location 11932 Great Falls StMcLean, VA 22101-5420 · Phone (703) 237-4050 · Fax (703) 237-4024

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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. Sam M Stumer 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.

PECOS PAC ID6901946326
PECOS Enrollment IDI20230214001281
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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
44 services44 patients
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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
29 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19971 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

DR. KATHERINE JOYCE MILLER O.D.
Optometrist
18756 COASTAL HWY UNIT 2
REHOBOTH BEACH, DE 19971
Sussex County (302) 645-4789

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 Sam Stumer's NPI number?

The NPI number for Sam Stumer is 1881756476. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Sam Stumer located?

Sam Stumer practices at 18756 Coastal Hwy Unit 2, Rehoboth Beach, DE 19971. The listed phone number is (302) 645-4789.

What is Sam Stumer's specialty?

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

Is Sam Stumer enrolled in Medicare?

Yes. Sam Stumer 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 Sam Stumer accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Sam Stumer 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 Sam Stumer was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.