Active NPI 1427099977 Individual Practitioner Male Practitioner

Dr. Stephen Lee Stanfield , OD

Optometrist • San Marcos, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Stanfield, OD is a certified Optometrist practicing in San Marcos, TX. With approximately 43 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1983, Dr. Stanfield delivers high-quality medical care to the local community at 2406 HUNTER RD..

Dr. Stanfield is affiliated with Med Southwest Pllc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

2406 Hunter Rd.
Ste. 102

San Marcos, TX 786665256

Telephone 5127546161

Fax 5127546197

Associated Practice Facility / Clinic

🏢 Stephen L. Stanfield Facility NPI 1326211988

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in San Marcos, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +30.4 yrs vs City Avg

City Avg: 12.6 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

13 Specialists

Practicing in San Marcos, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stanfield (43 Years) 43 Yrs

San Marcos Specialty Average (12.6 Years) 12.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	17	14	$119.71	$85.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	14	13	$80.00	$79.31
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$105.00	$88.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$77.63	$54.77
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$105.00	$89.05
92250 Photography of the retina	15	15	$95.00	$37.89
92083 Exam of visual field with extended testing	13	12	$120.38	$61.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	95	94	$94.41	$43.39
92014 Established patient complete exam of visual system	83	83	$147.83	$123.29
92004 New patient complete exam of visual system	48	48	$180.00	$147.03
92012 Established patient problem focused exam of visual system	37	28	$101.62	$85.26
92083 Exam of visual field with extended testing	14	12	$91.43	$61.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	175	168	$95.00	$48.05
92014 Established patient complete exam of visual system	143	143	$150.42	$121.83
92004 New patient complete exam of visual system	82	82	$180.00	$145.82
92012 Established patient problem focused exam of visual system	65	43	$105.00	$84.75
92286 Imaging of front third of eye using a special microscope	27	27	$49.26	$34.61
92083 Exam of visual field with extended testing	16	15	$80.00	$61.32
92285 Photography of content of eyes	16	15	$31.25	$18.62
92134 Imaging of retina	13	12	$60.00	$38.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	170	163	$95.00	$50.93
92014 Established patient complete exam of visual system	151	151	$150.00	$114.94
92004 New patient complete exam of visual system	97	97	$180.00	$137.65
92012 Established patient problem focused exam of visual system	72	40	$105.00	$79.56
92285 Photography of content of eyes	52	49	$30.00	$16.29
92286 Imaging of front third of eye using a special microscope	39	39	$50.00	$32.35
92083 Exam of visual field with extended testing	21	20	$80.00	$58.04
66984 Removal of cataract with insertion of lens	18	11	$159.72	$116.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	125	123	$150.00	$114.57
92250 Photography of the retina	120	118	$90.04	$59.52
92004 New patient complete exam of visual system	68	68	$180.00	$138.27
92285 Photography of content of eyes	42	41	$35.00	$16.65
92012 Established patient problem focused exam of visual system	38	27	$105.00	$78.89
92283 Extended color vision examination	15	15	$70.33	$50.62
92286 Imaging of front third of eye using a special microscope	15	15	$75.00	$33.63
92025 Ct scan of cornea	12	12	$45.00	$32.81

Medical Specialties & State Licenses

CMS Verified: 2020-08-20

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 3224TG

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1216244-01 (TX)

Commercial Insurance / Payer ID Block Vision

900919 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

E65A (TX)

Commercial Insurance / Payer ID Clarity Vision

360340 (TX)

Commercial Insurance / Payer ID Spectera

16121 (TX)

Commercial Insurance / Payer ID Eyemed

TX3224 (TX)

Hospital & Practice Group Affiliations

Med Southwest Pllc

2406 Hunter Rd, San Marcos, TX 786665256

Phone: 5127546161

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Grace Chen , OD

Optometrist

NPI 1437924040

Doctor of Optometry

Dr. Suzanne Turner , OD

Optometrist

NPI 1508120338

Doctor of Optometry

Dr. Jeslyn Sabol , OD

Optometrist

NPI 1609216282

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address August 20, 2020

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

✅

NPI Profile Active March 06, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2009

Registered at 2406 HUNTER RD., STE. 102, SAN MARCOS, TX 786665256 (Tel: 5127546161)

📍

Updated Business Mailing Address March 06, 2009

Registered at 2406 HUNTER RD., STE. 102, SAN MARCOS, TX 786665256 (Tel: 5127546161)

👤

Provider Name / Credentials Updated March 06, 2009

Recorded as STEPHEN STANFIELD, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2009

Optometrist (License #3224TG in TX)

🟢

Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Stephen Stanfield. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427099977

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: August 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1950 Old Gallows Rd Ste 520

Vienna, VA 221823970

Phone: 7038478899

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.