Active NPI 1578535399 Individual Practitioner Male Practitioner

Dr. Jeffery Nelson Stephens , MD

Ophthalmology • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffery Stephens, MD is a certified Ophthalmology practicing in Toledo, OH. With approximately 27 years of clinical experience since graduating from University Of Toledo College Of Medicine in 1999, Dr. Stephens delivers high-quality medical care to the local community at 2865 N REYNOLDS RD.

Dr. Stephens is affiliated with Promedica Central Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, injection, avacincaptad pegol, 0.1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2865 N Reynolds Rd
Suite 170

Toledo, OH 436152068

Telephone 4195782020

Fax 4195396323

Associated Practice Facility / Clinic

🏢 Retina Vitreous Associates Inc Facility NPI 1922073030

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Toledo, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -1.4 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

35 Specialists

Practicing in Toledo, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephens (27 Years) 27 Yrs

Toledo Specialty Average (28.4 Years) 28.4 Yrs

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
J2777 Injection, faricimab-svoa, 0.1 mg	5,400	39	$52.67	$30.27
92134 Imaging of retina	2,147	856	$89.00	$38.67
J2782 Injection, avacincaptad pegol, 0.1 mg	1,400	19	$167.00	$108.30
99213 Established patient office or other outpatient visit, typically 15 minutes	876	603	$127.00	$88.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	363	$179.00	$125.10
67028 Injection of drug into eye	480	207	$317.37	$110.47
J0178 Injection, aflibercept, 1 mg	438	112	$1775.34	$811.86
J0177 Injection, aflibercept hd, 1 mg	296	20	$666.49	$323.34
92250 Photography of the retina	148	148	$169.00	$35.58
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	140	11	$392.35	$192.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$315.00	$163.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	11	$10.00	$0.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$167.00	$108.77
J3590 Unclassified biologics	45	34	$428.69	$285.19
67515 Injection of medication or substance into membrane covering eyeball	14	11	$202.00	$49.83
67036 Removal of eye fluid (vitreous) between the lens and retina	14	13	$1947.00	$805.47
67108 Repair of detached retina and drainage of eye fluid between lens and retina	13	13	$2522.00	$1053.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	3,300	34	$39.38	$25.14
92134 Imaging of retina	1,620	730	$135.00	$37.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	908	397	$165.00	$121.68
99213 Established patient office or other outpatient visit, typically 15 minutes	688	512	$112.00	$85.83
J0178 Injection, aflibercept, 1 mg	390	97	$1587.03	$819.82
67028 Injection of drug into eye	378	151	$237.00	$106.54
J3590 Unclassified biologics	95	53	$103.00	$59.13
92250 Photography of the retina	66	66	$136.00	$35.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$315.00	$159.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$167.00	$106.97
67036 Removal of eye fluid (vitreous) between the lens and retina	20	19	$1947.00	$739.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,730	681	$135.00	$38.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	932	361	$165.00	$123.59
99213 Established patient office or other outpatient visit, typically 15 minutes	723	519	$112.00	$87.44
67028 Injection of drug into eye	380	152	$240.12	$108.92
J0178 Injection, aflibercept, 1 mg	342	66	$1500.00	$901.30
J3590 Unclassified biologics	171	95	$101.80	$59.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	13	$10.00	$1.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$315.00	$162.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$167.00	$108.84
92250 Photography of the retina	23	23	$136.00	$35.51
67515 Injection of medication or substance into membrane covering eyeball	15	13	$215.47	$51.65
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	14	13	$3069.00	$1018.46
67041 Removal of membrane from the retina	13	13	$2701.00	$1090.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,633	660	$113.51	$39.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	959	408	$194.95	$126.40
99213 Established patient office or other outpatient visit, typically 15 minutes	601	462	$124.21	$88.62
67028 Injection of drug into eye	344	139	$492.25	$110.36
J0178 Injection, aflibercept, 1 mg	288	62	$1314.24	$919.48
J3590 Unclassified biologics	161	90	$125.16	$60.00
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	154	12	$322.68	$199.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	15	$13.81	$1.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$318.82	$164.49
92250 Photography of the retina	24	24	$137.63	$37.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$189.91	$105.24
67515 Injection of medication or substance into membrane covering eyeball	18	16	$249.00	$50.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,682	653	$99.90	$39.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,057	430	$208.00	$106.75
J0178 Injection, aflibercept, 1 mg	474	85	$1250.00	$930.86
67028 Injection of drug into eye	411	151	$654.00	$100.26
99213 Established patient office or other outpatient visit, typically 15 minutes	344	292	$141.00	$73.82
J3590 Unclassified biologics	146	75	$142.27	$59.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	124	22	$15.00	$1.45
92012 Established patient problem focused exam of visual system	74	73	$163.00	$85.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$320.00	$162.76
67515 Injection of medication or substance into membrane covering eyeball	28	21	$228.00	$62.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$209.00	$105.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,681	665	$99.56	$39.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,016	404	$208.00	$104.92
92012 Established patient problem focused exam of visual system	553	406	$163.00	$84.82
67028 Injection of drug into eye	308	135	$654.00	$99.57
J0178 Injection, aflibercept, 1 mg	243	57	$1255.14	$942.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	172	28	$15.53	$1.58
J3590 Unclassified biologics	170	87	$144.00	$58.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$320.00	$160.53
67515 Injection of medication or substance into membrane covering eyeball	41	26	$228.00	$76.23
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$141.00	$72.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$209.00	$105.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,709	637	$99.87	$39.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	839	274	$207.91	$102.84
99213 Established patient office or other outpatient visit, typically 15 minutes	602	431	$141.00	$69.89
67028 Injection of drug into eye	356	129	$654.00	$97.55
J0178 Injection, aflibercept, 1 mg	264	53	$1250.00	$931.92
92012 Established patient problem focused exam of visual system	241	223	$163.00	$83.39
J3590 Unclassified biologics	208	97	$144.00	$59.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	160	23	$13.90	$1.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$320.00	$159.16
67515 Injection of medication or substance into membrane covering eyeball	36	23	$228.00	$91.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$209.00	$103.73
67036 Removal of eye fluid (vitreous) between the lens and retina	14	12	$2116.00	$804.12
92250 Photography of the retina	12	12	$149.00	$53.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,823	674	$98.60	$38.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	980	349	$205.52	$102.18
99213 Established patient office or other outpatient visit, typically 15 minutes	791	511	$138.94	$69.60
67028 Injection of drug into eye	430	155	$440.85	$97.55
J3590 Unclassified biologics	299	139	$111.03	$58.88
J0178 Injection, aflibercept, 1 mg	248	40	$1202.92	$947.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	97	19	$13.19	$1.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$318.58	$157.84
92250 Photography of the retina	26	26	$140.00	$61.05
67515 Injection of medication or substance into membrane covering eyeball	25	19	$213.92	$93.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$195.57	$102.76
67041 Removal of membrane from the retina	19	19	$3000.00	$1109.46
67210 Laser destruction of retinal growth, 1 or more sessions	18	11	$1165.67	$495.71
76512 Ultrasound of eye disease, growth, or structure	15	13	$183.87	$87.71
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	14	13	$2107.86	$326.56
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	13	13	$2680.54	$996.35

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35086319

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2603687 (OH)

Commercial Insurance / Payer ID Adminastar

118130001 (OH)

Commercial Insurance / Payer ID Family Health Plan

P00264763 (OH)

Commercial Insurance / Payer ID Paramount

04789 (OH)

Commercial Insurance / Payer ID Aetna

7008492 (OH)

Commercial Insurance / Payer ID Anthem

000000372906 (OH)

Hospital & Practice Group Affiliations

Promedica Central Physicians

2865 N Reynolds Rd, Toledo, OH 436152100

Phone: 4195787200

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. John Burchfield , MD

Ophthalmology

NPI 1144292566

Doctor of Medicine (M.D.)

Dr. Gerald Striph , MD

Ophthalmology

NPI 1275505315

Doctor of Medicine (M.D.)

Dr. Niraj Shah , MD

Ophthalmology

NPI 1386968022

Doctor of Medicine (M.D.)

Dr. Brian Chinavare , MD

Ophthalmology

NPI 1568455806

Doctor of Medicine (M.D.)

Dr. Rodney Mccarthy , MD

Ophthalmology

NPI 1578535738

Doctor of Medicine (M.D.)

Dr. Jenna Bailey , OD

Optometrist

NPI 1659891943

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2008

Registered at 2865 N REYNOLDS RD, SUITE 170, TOLEDO, OH 436152068 (Tel: 4195782020)

📍

Updated Business Mailing Address June 05, 2008

Registered at 2865 N REYNOLDS RD, SUITE 170, TOLEDO, OH 436152068 (Tel: 4195782020)

👤

Provider Name / Credentials Updated June 05, 2008

Recorded as JEFFERY STEPHENS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2008

Ophthalmology (License #35086319 in OH)

🟢

Initial NPI Registration & Enumeration February 06, 2006

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: 1578535399

Entity Type:

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

Enumeration Date: February 06, 2006

Last Update: November 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2865 N Reynolds Rd, Suite 170

Toledo, OH 436152068

Phone: 4195782020

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.