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STEPHEN B WEST OD
NPI 1932173978
Optometrist in Mechanicsburg, PA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.07/100
CMS Quality Rating
555 GETTYSBURG PIKE, SUITE C200, MECHANICSBURG, PA 17055(717) 796-2000(717) 796-2015 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephen B West Od NPPES

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

STEPHEN B WEST OD (NPI 1932173978) is an individual optometrist in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (OE007242T) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1990).

NPPES Registry Identity

NPI1932173978
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEPHEN B WESTCredential: OD
Location Address555 GETTYSBURG PIKE, SUITE C200Mechanicsburg, PA 17055-5201
Mailing Address555 Gettysburg Pike, Suite C200Mechanicsburg, PA 17055-5205 · (717) 796-2000 · Fax (717) 796-2015
Phone(717) 796-2000
Fax(717) 796-2015
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1990
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMay 13, 2008
✔ NPI 1932173978 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 · OE007242T
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.
555 GETTYSBURG PIKE, Mechanicsburg, PA 17055
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINU03089PA
Medicare PIN629113PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen B West 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 ID5193812931
PECOS Enrollment IDI20071026000129
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen West reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Eye Associates LLP
Same address
Optometrist
555 GETTYSBURG PIKE STE C200
Mechanicsburg, PA 17055
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1932803806 (717) 796-2000
Stoken Wagner Ophthalmic Associates, LLC
12 mi
Ophthalmology
338 ALEXANDER SPRING RD
Carlisle, PA 17015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
NPI 1306213319 (717) 249-6337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
261 services256 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.
179 services160 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.
142 services130 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.
55 services55 patients
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.
31 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17055 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.11
Improvement Activities40
Cost79.43

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 Stephen West's NPI number?

The NPI number for Stephen West is 1932173978. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Stephen West located?

Stephen West practices at 555 Gettysburg Pike Suite C200, Mechanicsburg, PA 17055. The listed phone number is (717) 796-2000.

What is Stephen West's specialty?

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

Is Stephen West enrolled in Medicare?

Yes. Stephen West 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.

Which organizations bill Medicare for Stephen West's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen West reassigns Medicare benefits to 2 organizations: West Eye Associates LLP (Mechanicsburg, PA) and Stoken Wagner Ophthalmic Associates, LLC (Carlisle, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen West's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen West accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Stephen West 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 Stephen West was last updated on May 13, 2008. 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.