PAUL B STAUDER
NPI 1902627979
Optometrist in Fairfield, IL
About Paul B Stauder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL B STAUDER (NPI 1902627979) is a healthcare organization registered as an optometrist in Fairfield, Illinois and active in the NPI registry since October 2024. The organization maintains a secondary practice location in Flora and lists Paul Stauder, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paul B Stauder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Paul B Stauder carries, from the Medicare DMEPOS supplier directory.
Paul B Stauder
DMEPOS supplier · Fairfield, ILAccepts Medicare assignment
Paul B Stauder agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 B Stauder's NPI number?
The NPI number for Paul B Stauder is 1902627979. It was assigned to this organization in the NPPES registry on October 22, 2024.
Where is Paul B Stauder located?
Paul B Stauder is located at 101 E Delaware St Ste C, Fairfield, IL 62837. The listed phone number is (618) 842-6516.
What is Paul B Stauder's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Paul B Stauder enrolled in Medicare?
Yes. Paul B Stauder is registered in the Medicare PECOS enrollment system.
When is Paul B Stauder's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Paul B Stauder accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Paul B Stauder accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Paul B Stauder accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Paul B 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 B Stauder was last updated on October 22, 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.
# Paul B Stauder · NPI 1902627979
Optometrist organization in Fairfield, Illinois. Organization record, active in the CMS NPPES registry since October 22, 2024.
## Identity
- **NPI:** 1902627979 (Entity type: Organization)
- **Enumerated:** October 22, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Paul Stauder, OWNER
## Practice location
- **Address:** 101 E DELAWARE ST STE C, Fairfield, IL 62837-2171
- **Phone:** (618) 842-6516 · **Fax:** (618) 842-6061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, Illinois, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902627979) · Data from the CMS NPPES public registry.