Active NPI 1851380216 Individual Practitioner Male Practitioner

Dr. Stephen C. Pflugfelder , MD

Ophthalmology • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Pflugfelder, MD is a certified Ophthalmology practicing in Houston, TX. With approximately 45 years of clinical experience since graduating from State University Of New York - State College Optometry in 1981, Dr. Pflugfelder delivers high-quality medical care to the local community at 6550 FANNIN ST.

Dr. Pflugfelder is affiliated with Baylor College Of Medicine and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, established patient complete exam of visual system, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6550 Fannin St
Suite 1501

Houston, TX 770302717

Telephone 7137986100

Fax 7137984231

Associated Practice Facility / Clinic

🏢 Colon & Rectal Clinic, P. A. Facility NPI 1245223262

Medicare Profile & Education

Medical School

State University Of New York - State College Optometry

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +20.1 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

276 Specialists

Practicing in Houston, TX (1616 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pflugfelder (45 Years) 45 Yrs

Houston Specialty Average (24.9 Years) 24.9 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
92012 Established patient problem focused exam of visual system	329	147	$244.00	$89.55
92014 Established patient complete exam of visual system	225	220	$344.00	$126.70
92136 Measurement of corneal curvature and depth of eye	40	22	$109.20	$37.09
66984 Removal of cataract with insertion of lens	33	23	$2701.00	$549.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$465.00	$172.07
92004 New patient complete exam of visual system	29	29	$407.00	$150.21
83516 Analysis of substance using immunoassay technique	23	23	$46.00	$11.30
92134 Imaging of retina	17	14	$111.00	$40.70
68115 Removal of (over 1 centimeter) growth of sclera	14	14	$2143.71	$433.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$355.00	$131.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	293	137	$248.00	$92.03
92014 Established patient complete exam of visual system	239	232	$348.00	$129.22
92136 Measurement of corneal curvature and depth of eye	56	25	$110.52	$37.45
66984 Removal of cataract with insertion of lens	44	29	$2707.00	$552.81
83516 Analysis of substance using immunoassay technique	39	39	$46.00	$11.30
68841 Insertion of drug delivery implant into tear duct of eye	34	24	$163.00	$16.62
92004 New patient complete exam of visual system	32	32	$412.00	$149.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$461.00	$171.18
66821 Removal of recurring cataract in lens capsule using a laser	21	17	$1671.00	$341.30
76519 Ultrasound of eye for determination of lens power	17	11	$101.35	$37.55
92134 Imaging of retina	16	15	$112.00	$39.27
68115 Removal of (over 1 centimeter) growth of sclera	14	13	$2096.25	$428.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	304	136	$249.00	$93.13
92014 Established patient complete exam of visual system	283	271	$353.00	$131.26
66984 Removal of cataract with insertion of lens	42	33	$2713.00	$557.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$464.00	$173.74
68841 Insertion of drug delivery implant into tear duct of eye	31	25	$162.00	$16.76
92004 New patient complete exam of visual system	29	29	$418.00	$156.54
76519 Ultrasound of eye for determination of lens power	29	22	$131.07	$48.46
66821 Removal of recurring cataract in lens capsule using a laser	27	22	$1682.00	$347.32
83516 Analysis of substance using immunoassay technique	24	16	$46.00	$11.30
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$203.00	$76.15
92134 Imaging of retina	13	13	$114.00	$42.29
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$253.00	$94.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$502.00	$187.50
68115 Removal of (over 1 centimeter) growth of sclera	12	12	$1955.75	$403.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	325	156	$240.00	$92.53
92014 Established patient complete exam of visual system	281	261	$339.00	$132.15
66984 Removal of cataract with insertion of lens	42	34	$2607.00	$568.80
0356T Insertion of drug delivery implant into tear ducts	32	24	$284.00	$108.09
92004 New patient complete exam of visual system	27	27	$402.00	$158.21
76519 Ultrasound of eye for determination of lens power	25	21	$140.60	$55.37
92134 Imaging of retina	25	22	$110.00	$42.32
66821 Removal of recurring cataract in lens capsule using a laser	22	21	$1623.00	$352.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$451.00	$175.71
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$195.00	$76.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$63.00	$23.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	377	177	$253.00	$91.81
92014 Established patient complete exam of visual system	230	225	$360.00	$131.70
92004 New patient complete exam of visual system	74	74	$429.00	$155.62
66984 Removal of cataract with insertion of lens	32	21	$2842.00	$572.86
92025 Ct scan of cornea	27	27	$75.00	$37.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	18	$66.00	$24.33
67820 Removal of eyelashes using forceps	21	13	$151.14	$30.53
66821 Removal of recurring cataract in lens capsule using a laser	19	18	$1730.00	$333.27
92134 Imaging of retina	16	16	$117.00	$39.74
92133 Imaging of optic nerve	12	11	$107.00	$39.01
92002 New patient problem focused exam of visual system	11	11	$241.00	$87.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	440	225	$251.00	$90.24
92014 Established patient complete exam of visual system	350	335	$359.00	$128.62
92004 New patient complete exam of visual system	82	82	$429.00	$152.33
92025 Ct scan of cornea	56	55	$75.00	$38.61
66984 Removal of cataract with insertion of lens	48	31	$3316.00	$647.73
83861 Microfluid analysis of tears	40	20	$57.00	$22.03
92134 Imaging of retina	37	37	$117.00	$41.01
76519 Ultrasound of eye for determination of lens power	30	27	$168.40	$58.97
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$1720.00	$341.47
68115 Removal of (over 1 centimeter) growth of sclera	18	18	$1741.67	$333.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	415	227	$249.00	$89.10
92014 Established patient complete exam of visual system	292	285	$359.00	$128.31
83861 Microfluid analysis of tears	74	37	$57.00	$22.03
92025 Ct scan of cornea	73	73	$75.00	$38.73
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$213.00	$75.03
76519 Ultrasound of eye for determination of lens power	45	33	$168.62	$60.32
66984 Removal of cataract with insertion of lens	37	27	$3325.00	$643.33
92134 Imaging of retina	36	35	$119.00	$41.71
66984 Removal of cataract with insertion of lens	23	20	$3325.00	$599.22
92004 New patient complete exam of visual system	22	22	$429.00	$153.64
66821 Removal of recurring cataract in lens capsule using a laser	21	19	$1714.00	$337.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$467.00	$167.26
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$207.00	$73.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	420	219	$241.00	$85.85
92014 Established patient complete exam of visual system	309	297	$349.00	$124.34
83861 Microfluid analysis of tears	96	49	$93.17	$21.83
92025 Ct scan of cornea	89	89	$93.34	$38.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$461.18	$161.99
66984 Removal of cataract with insertion of lens	73	58	$3295.00	$630.59
92134 Imaging of retina	69	62	$116.00	$40.42
76519 Ultrasound of eye for determination of lens power	58	42	$195.33	$69.75
66821 Removal of recurring cataract in lens capsule using a laser	26	22	$1673.80	$329.70
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$211.00	$75.49
76511 1d ultrasound scan of eye tissue and structures	14	14	$288.00	$102.95
68115 Removal of (over 1 centimeter) growth of sclera	11	11	$1665.41	$327.89

Medical Specialties & State Licenses

CMS Verified: 2020-11-27

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX L2770

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

045474601 (TX)

Medicaid State Provider ID

045474602 (TX)

Commercial Insurance / Payer ID Blue Link

3164000 (TX)

Commercial Insurance / Payer ID Bc/bs

86276S (TX)

Hospital & Practice Group Affiliations

Baylor College Of Medicine

7200 Cambridge St, Houston, TX 770304202

Phone: 7137982500

Baylor College Of Medicine

1504 Taub Loop, Houston, TX 770301608

Phone: 7138732000

Practice Associates & Co-Workers

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

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Doctor of Medicine (M.D.)

Navnit Mohan

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Dr. Elizabeth Baze , MD

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2008

Registered at 6550 FANNIN ST, SUITE 1501, HOUSTON, TX 770302717 (Tel: 7137986100)

📍

Updated Business Mailing Address February 01, 2008

Registered at PO BOX 4771, HOUSTON, TX 772104771 (Tel: 7137986100)

👤

Provider Name / Credentials Updated February 01, 2008

Recorded as STEPHEN PFLUGFELDER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2008

Ophthalmology (License #L2770 in TX)

🟢

Initial NPI Registration & Enumeration October 18, 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: 1851380216

Entity Type:

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

Enumeration Date: October 18, 2005

Last Update: November 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4771

Houston, TX 772104771

Phone: 7137986100

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.