Doctor profile · Federal record

Dr. Staci Tebbetts, OD

Optometrist (CMS: Optometry) · Dawsonville, GA

  • NPI 1417485715
  • Accepts Medicare
  • 9 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5983 Highway 53 E Ste 250
Dawsonville, GA 305349516
(706) 216-6595
fax (706) 216-6594

Credentials & registration

NPPES · NUCC
NPI registered
May 2017 — 9 yrs on file
Profile last updated
September 27, 2023
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Georgia #OPT003012

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417485715. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
50
Distinct HCPCS
3
Medicare allowed
$3,699
HCPCS Description Services Patients Avg allowed
92250 Photography of the retina 27 26 $33
92004 New patient complete exam of visual system 12 12 $132
92014 Established patient complete exam of visual system 11 11 $111

In context: peer comparison

Among 5 peers in Dawsonville Optometrist, average services per provider: 30. This provider delivers 1.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$56
Transactions
3
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Oyster Point Pharma, INC. 2 $40.36
Bausch & Lomb Americas INC. 1 $16.04

By nature of payment

Food and Beverage
$56

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
66
Patients
29
Total drug cost
$637
Drug Type Claims Patients Total cost
Erythromycin (Erythromycin Base) Brand 19 16 $141
Latanoprost Generic 17 0 $188
Timolol Maleate Generic 17 0 $91
Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) Brand 13 13 $217

Frequently asked questions

Auto-generated from federal data
What is Dr. Staci Tebbetts's medical specialty?
Dr. Staci Tebbetts practices Optometrist in Dawsonville, GA.
Where does Dr. Staci Tebbetts practice?
Dr. Staci Tebbetts practices at 5983 Highway 53 E Ste 250, Dawsonville, GA 305349516. Office phone: 7062166595.
What is Dr. Staci Tebbetts's NPI?
Dr. Staci Tebbetts's National Provider Identifier (NPI) is 1417485715, issued by NPPES.
Does Dr. Staci Tebbetts accept Medicare assignment?
Yes. Dr. Staci Tebbetts accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Staci Tebbetts commonly perform?
Top Medicare-reported procedures in 2023: Photography of the retina (HCPCS 92250); New patient complete exam of visual system (HCPCS 92004); Established patient complete exam of visual system (HCPCS 92014). Source: CMS Medicare Physician & Other Practitioners file.