DR. GREGORY PAUL VANSTAVERN MD NPI 1134166051

NPI Information

  • NPI: 1134166051
  • Provider Name: DR. GREGORY PAUL VANSTAVERN, MD
  • Classification: Ophthalmology - 207WX0109X
  • Specialization: Neuro-ophthalmology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4901 FOREST PARK AVE
    DEPT OPHTHALMOLOGY, 6TH FL
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 362-3937

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NPI Details

DR. Gregory Paul Vanstavern, MD is a neuro-ophthalmology ophthalmology in Saint Louis, MO with 32 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. DR. Gregory Paul Vanstavern, MD NPI is 1134166051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

4901 FOREST PARK AVE
DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 362-3937
Fax: (314) 362-3725

The NPI 1134166051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exam to measure eye deviation and range of motion (HCPCS:92060)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Measurement of retinal and optic nerve function (HCPCS:92273)

The enumeration date for this NPI number is 5/31/2006 and was last updated on 5/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0109XOphthalmologyNeuro-ophthalmology2009005330MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1204925507MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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