Active NPI 1790780567 Individual Practitioner Male Practitioner

Dr. James Michael Stearns , MD

Ophthalmology • Henderson, KY

Professional Overview & Biography Verified Profile Summary

Dr. James Stearns, MD is a registered healthcare professional specializing in Ophthalmology in Henderson, KY. Practice services are available at 110 3RD ST under active NPI credentials.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

110 3rd St

Henderson, KY 424202993

Telephone 2708265100

Fax 2708263644

Associated Practice Facility / Clinic

🏢 James A Hohman Md, Psc Facility NPI 1760471361

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Henderson, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Henderson, KY (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	49	45	$150.00	$33.51
92014 Established patient complete exam of visual system	48	46	$150.00	$114.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	57	52	$140.18	$115.11
92250 Photography of the retina	55	54	$150.00	$33.78
99213 Established patient office or other outpatient visit, typically 15 minutes	41	33	$118.66	$82.07
92134 Imaging of retina	30	26	$190.00	$36.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$168.79	$115.22
92012 Established patient problem focused exam of visual system	21	19	$95.00	$81.76
92133 Imaging of optic nerve	15	14	$190.00	$31.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	77	74	$130.00	$118.35
99213 Established patient office or other outpatient visit, typically 15 minutes	55	34	$105.00	$81.19
92012 Established patient problem focused exam of visual system	36	30	$95.00	$82.80
92250 Photography of the retina	31	30	$150.00	$34.24
92134 Imaging of retina	25	25	$190.00	$37.59
92133 Imaging of optic nerve	19	14	$190.00	$34.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$145.00	$119.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	109	106	$130.00	$118.42
99213 Established patient office or other outpatient visit, typically 15 minutes	91	75	$105.00	$85.67
92134 Imaging of retina	33	30	$190.00	$38.22
92133 Imaging of optic nerve	27	24	$190.00	$33.32
92012 Established patient problem focused exam of visual system	19	18	$95.00	$83.76
92250 Photography of the retina	17	17	$150.00	$36.55
92083 Exam of visual field with extended testing	16	16	$105.00	$55.34
92004 New patient complete exam of visual system	11	11	$160.00	$141.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	154	146	$130.00	$118.52
99213 Established patient office or other outpatient visit, typically 15 minutes	51	39	$105.00	$70.78
92133 Imaging of optic nerve	23	23	$190.00	$34.90
92134 Imaging of retina	22	22	$190.00	$38.28
92083 Exam of visual field with extended testing	21	16	$105.00	$58.44
92012 Established patient problem focused exam of visual system	14	12	$95.00	$83.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	173	165	$130.00	$118.25
99213 Established patient office or other outpatient visit, typically 15 minutes	59	44	$105.00	$68.83
92133 Imaging of optic nerve	30	25	$190.00	$34.62
92134 Imaging of retina	25	25	$190.00	$38.39
92083 Exam of visual field with extended testing	20	18	$105.00	$59.03
92012 Established patient problem focused exam of visual system	18	16	$95.00	$82.03
92004 New patient complete exam of visual system	14	14	$160.00	$141.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	207	198	$130.00	$114.62
99213 Established patient office or other outpatient visit, typically 15 minutes	73	52	$105.00	$65.96
92133 Imaging of optic nerve	44	36	$190.00	$34.24
92134 Imaging of retina	33	33	$190.00	$37.76
92012 Established patient problem focused exam of visual system	26	21	$95.00	$79.43
92083 Exam of visual field with extended testing	24	22	$105.00	$57.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	259	245	$130.00	$112.58
99213 Established patient office or other outpatient visit, typically 15 minutes	93	60	$105.00	$66.79
92134 Imaging of retina	55	53	$190.00	$36.94
92133 Imaging of optic nerve	48	42	$190.00	$33.38
92083 Exam of visual field with extended testing	35	31	$105.00	$56.24
92012 Established patient problem focused exam of visual system	26	21	$95.00	$77.49
92004 New patient complete exam of visual system	17	17	$160.00	$136.09

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 14843

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License IN 01031657

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100014440 (IN)

Medicaid State Provider ID

64148430 (KY)

Commercial Insurance / Payer ID Bc/bs Anthem

000000476835

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Raven Ray , APRN

Nurse Practitioner - Family

NPI 1033577812

Advanced Practice Registered Nurse

James Dunaway , RPH

Pharmacist

NPI 1063524379

Registered Pharmacist

Linda Austin , CSA

Specialist/Technologist, Other - Surgical Technologist

NPI 1093920662

Dr. Kelly Fife , MD

Pediatrics

NPI 1104990027

Doctor of Medicine (M.D.)

Dr. Lenita Reasor-Brann , DC

Chiropractor

NPI 1174595946

Doctor of Chiropractic

Dr. Michael Tenery , DMD

Dentist - General Practice

NPI 1205997525

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 21, 2010

Registered at 110 3RD ST, HENDERSON, KY 424202993 (Tel: 2708265100)

📍

Updated Business Mailing Address June 21, 2010

Registered at 3372 WALTER RD, ROBARDS, KY 424529365 (Tel: 2708265100)

👤

Provider Name / Credentials Updated June 21, 2010

Recorded as JAMES STEARNS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2010

Ophthalmology (License #14843 in KY)

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790780567

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2005

Last Update: June 21, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3372 Walter Rd

Robards, KY 424529365

Phone: 2708265100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.