Individual provider Active NPI

Mark E. Stepp, O.D.

  • Optometrist
  • Windber, PA
National Provider Identifier
1083694863
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000068 Issued in PA
Practice address
810 Vincent Dr
Windber, PA 15963-1573
Phone
(814) 467-9062
Fax
(814) 266-5368
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-000068 PA Primary

Addresses

Primary practice location

810 Vincent Dr
Windber, PA 15963-1573

Mailing address

810 Vincent Dr
Windber, PA 15963-1573
Phone (814) 467-9062

Other identifiers 4

IdentifierTypeStateIssuer
0017285970004MedicaidPA
187938OtherPABLUECROSSBLUESHIELD
0017285970005MedicaidPA
0017285970006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000254 PA Practitioner - Optometry 6002823366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vittone Eye Surgical Associates PCGroup PAC ID 1658648464, 5 clinicians
Johnstown Family Vision and Hearing IncGroup PAC ID 7315011269, 2 clinicians

Practice addresses (Care Compare)

1010 Ligonier St
Latrobe, PA 15650-1846
Phone (724) 539-1671

1513 Scalp Ave
Suite 280
Johnstown, PA 15904-3332
Phone (814) 266-7611

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
69.08
Improvement activities
40
Cost
72.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-000068PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vittone Eye Surgical Associates PC Optometrist CurrentSince Jul 5, 2017 Accepting new patients
Johnstown Family Vision & Hearing Inc Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

969 Eisenhower Blvd
Ste K
Johnstown, PA 15904
Phone (814) 266-6320

1513 Scalp Ave
Ste 280
Johnstown, PA 15904
Phone (814) 266-7611

1010 Ligonier St
Latrobe, PA 15650
Phone (724) 539-1671

509 Georgian Pl
Somerset, PA 15501
Phone (814) 443-9443

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1083694863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 VINCENT DR",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631573",
            "telephone_number": "814-467-9062",
            "fax_number": "814-266-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 VINCENT DR",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631573",
            "telephone_number": "814-467-9062",
            "fax_number": "814-266-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPP",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017285970004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "187938",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017285970005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017285970006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.