DR. STEPHAINE L CAULEY O.D. NPI 1972533750
Optometrist in Baton Rouge, LA

Individual Female Optometrist PECOS Enrolled

About DR. STEPHAINE L CAULEY O.D.

Stephaine Cauley is a provider established in Baton Rouge, Louisiana and her medical specialization is Optometrist. The NPI number of Stephaine Cauley is 1972533750 and was assigned on July 2006. The practitioner's primary taxonomy code is 152W00000X with license number 842-218T (LA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1972533750
Provider NameDR. STEPHAINE L CAULEY O.D.
Provider Location Address9001 SUMMA AVE BATON ROUGE, LA 70809
Provider Mailing Address9001 SUMMA AVE BATON ROUGE, LA 70809
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date07-04-2006
Last Update Date12-06-2007

Stephaine Cauley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..

Stephaine Cauley is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.842-218T
License StateLA
Taxonomy DescriptionDoctors 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.

Business Address

DR. STEPHAINE L CAULEY O.D.
9001 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 761-5200
Fax: (225) 761-5618

Get Directions


Mailing Address

DR. STEPHAINE L CAULEY O.D.
9001 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 761-5200


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 150Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 45Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 13Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
48037MEDICARE ID-TYPE UNSPECIFIED (04)
T19493MEDICARE UPIN (02)
1384526MEDICAID (05)LA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972533750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421036710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 0 + 3 + 6 + 7 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1972533750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891762167 TERRI L. ROSS PA
Individual
Physician Assistant9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1447217336DR. CHAD BRADEN MD
Individual
Family Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5480
1770535056DR. SUSAN MCNAMARA MD
Individual
Internal Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1023046158DR. THOMAS R FAIRLEY O.D.
Individual
Optometrist9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1841229747DR. BASIL DEMETRIUS CATSIKIS M.D.
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1083644041DR. RUBEN FABREGA MD
Individual
Internal Medicine (Hematology & Oncology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1700818135 CHRISTOPHER PAUL GRENIER M.D.
Individual
Ophthalmology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1912930785DR. TRANG P HUYNH M.D.
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1538192026DR. LLOYD FRANK LOCASCIO M.D.
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1306879960DR. AMIN KAMYAR M.D.
Individual
Internal Medicine (Nephrology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1942234828 GEORGE W HOWARD III MD
Individual
Internal Medicine (Gastroenterology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1194758110 JUDY M ROHEIM MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1518991975 BURKE JOSEPH BROOKS JR. M.D.
Individual
Internal Medicine (Hematology & Oncology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1730113192DR. DAVID JOHN CARLSON M.D.
Individual
Family Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1114951571 NANCY DEIHL CHANDLER MD
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1184659948DR. BRUCE PALMER CLELAND M.D.
Individual
Surgery9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1528093671DR. CLAUDE JENKINS TELLIS MD
Individual
Internal Medicine (Pulmonary Disease)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1689609398DR. JOHN EDWARD ERFFMEYER M.D.
Individual
Allergy & Immunology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1376578070DR. FRANCIS RALPH DAUTERIVE M.D.
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1518992213 MICHAEL STEPHEN DUREL MD
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Stephaine L Cauley O.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.