Active NPI 1649265497 Individual Practitioner Male Practitioner

Dr. Stephen J Phipps , MD

Ophthalmology • St Johnsbury, VT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Phipps, MD is a certified Ophthalmology practicing in St Johnsbury, VT. With approximately 30 years of clinical experience since graduating from Creighton University School Of Medicine in 1996, Dr. Phipps delivers high-quality medical care to the local community at 1290 HOSPITAL DR.

Dr. Phipps is affiliated with Shippee Family Eye Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, measurement of corneal curvature and depth of eye, release of nerve of arm or leg, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1290 Hospital Dr
Suite 5

St Johnsbury, VT 058199239

Telephone 8027488126

Associated Practice Facility / Clinic

🏢 Eye Associates Of Northern New England, Llp Facility NPI 1659347508

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in St Johnsbury, VT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

2 Specialists

Practicing in St Johnsbury, VT (57 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phipps (30 Years) 30 Yrs

St Johnsbury Specialty Average (30.0 Years) 30.0 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
66984 Removal of cataract with insertion of lens	548	327	$2007.30	$502.56
92136 Measurement of corneal curvature and depth of eye	392	391	$350.00	$45.47
64708 Release of nerve of arm or leg, open procedure	308	182	$750.00	$238.27
64727 Release of nerve using operating microscope	306	181	$500.00	$164.44
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	302	181	$150.00	$11.01
92136 Measurement of corneal curvature and depth of eye	262	262	$350.00	$28.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$234.55	$161.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	149	$165.33	$122.87
66821 Removal of recurring cataract in lens capsule using a laser	125	125	$1134.60	$393.62
99213 Established patient office or other outpatient visit, typically 15 minutes	86	60	$113.31	$86.93
92014 Established patient complete exam of visual system	83	83	$142.00	$121.75
66982 Complex removal of cataract with insertion of prosthetic lens	64	49	$2500.00	$693.59
92133 Imaging of optic nerve	31	29	$89.00	$34.94
65855 Laser repair to improve eye fluid flow	23	23	$1426.09	$326.07
65820 Incision to improve eye fluid flow	22	14	$975.00	$768.86
92083 Exam of visual field with extended testing	22	22	$95.00	$60.92
92002 New patient problem focused exam of visual system	16	16	$97.00	$82.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$74.00	$54.82
67840 Removal of eyelid growth	11	11	$325.00	$253.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	488	298	$2020.49	$526.84
92136 Measurement of corneal curvature and depth of eye	411	410	$350.00	$46.96
92136 Measurement of corneal curvature and depth of eye	230	230	$350.00	$29.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	186	186	$210.00	$164.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	140	$158.29	$126.00
99213 Established patient office or other outpatient visit, typically 15 minutes	139	107	$110.00	$89.21
64727 Release of nerve using operating microscope	137	84	$500.00	$169.76
64708 Release of nerve of arm or leg, open procedure	137	84	$750.00	$243.54
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	135	84	$150.00	$11.68
66821 Removal of recurring cataract in lens capsule using a laser	117	117	$1092.95	$398.59
92014 Established patient complete exam of visual system	82	82	$142.00	$126.36
66982 Complex removal of cataract with insertion of prosthetic lens	64	48	$2500.00	$725.70
92133 Imaging of optic nerve	49	48	$89.00	$36.24
92083 Exam of visual field with extended testing	39	37	$95.00	$62.66
92134 Imaging of retina	35	35	$89.00	$38.33
92002 New patient problem focused exam of visual system	20	20	$97.00	$86.30
65855 Laser repair to improve eye fluid flow	13	13	$1476.92	$339.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	425	420	$350.00	$50.40
66984 Removal of cataract with insertion of lens	399	241	$1976.94	$532.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	225	225	$210.00	$169.49
92136 Measurement of corneal curvature and depth of eye	175	175	$350.00	$30.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	168	$158.00	$129.89
66821 Removal of recurring cataract in lens capsule using a laser	134	132	$1046.83	$397.90
99213 Established patient office or other outpatient visit, typically 15 minutes	134	95	$110.00	$91.80
92014 Established patient complete exam of visual system	85	85	$142.00	$129.01
92133 Imaging of optic nerve	66	61	$89.00	$37.35
66982 Complex removal of cataract with insertion of prosthetic lens	58	45	$2500.00	$743.13
92134 Imaging of retina	58	57	$89.00	$39.71
92083 Exam of visual field with extended testing	42	42	$95.00	$64.20
92002 New patient problem focused exam of visual system	34	34	$97.00	$88.46
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	25	14	$2850.00	$654.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$74.00	$57.48
92250 Photography of the retina	17	17	$95.00	$37.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$158.00	$113.38
92012 Established patient problem focused exam of visual system	13	13	$95.15	$90.83
67840 Removal of eyelid growth	12	12	$352.08	$305.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	841	269	$1161.95	$286.84
92136 Measurement of corneal curvature and depth of eye	427	397	$349.18	$54.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	280	$158.50	$133.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	235	235	$210.00	$172.93
99213 Established patient office or other outpatient visit, typically 15 minutes	177	132	$110.27	$94.11
66821 Removal of recurring cataract in lens capsule using a laser	149	145	$975.33	$401.40
66982 Complex removal of cataract with insertion of prosthetic lens	146	45	$1147.26	$297.29
92133 Imaging of optic nerve	143	128	$88.94	$37.70
92014 Established patient complete exam of visual system	122	119	$142.51	$131.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	80	$74.01	$57.96
92134 Imaging of retina	74	71	$89.00	$41.21
92250 Photography of the retina	66	66	$95.00	$40.85
92083 Exam of visual field with extended testing	65	63	$94.92	$66.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$158.00	$115.42
65855 Laser repair to improve eye fluid flow	16	16	$2087.38	$321.19
92136 Measurement of corneal curvature and depth of eye	16	16	$350.00	$31.50
92004 New patient complete exam of visual system	14	14	$163.86	$157.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$50.00	$23.42
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$105.00	$75.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	466	446	$145.00	$127.74
66984 Removal of cataract with insertion of lens	338	208	$2005.92	$560.80
92136 Measurement of corneal curvature and depth of eye	247	247	$240.00	$63.41
92012 Established patient problem focused exam of visual system	216	159	$100.00	$89.70
92136 Measurement of corneal curvature and depth of eye	155	155	$240.00	$31.97
92004 New patient complete exam of visual system	140	140	$160.00	$152.28
92134 Imaging of retina	122	119	$100.00	$40.42
66821 Removal of recurring cataract in lens capsule using a laser	106	105	$865.09	$375.59
92133 Imaging of optic nerve	104	103	$100.00	$37.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$235.00	$164.47
92083 Exam of visual field with extended testing	45	44	$165.00	$64.11
66982 Complex removal of cataract with insertion of prosthetic lens	45	36	$2453.33	$780.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$65.00	$45.66
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	19	18	$1263.16	$399.84
76514 Ultrasound scan of cornea to determine thickness	11	11	$40.00	$11.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	856	823	$145.00	$127.62
66984 Removal of cataract with insertion of lens	325	203	$2000.00	$649.81
92136 Measurement of corneal curvature and depth of eye	295	295	$240.00	$71.02
92004 New patient complete exam of visual system	239	239	$160.00	$152.18
92012 Established patient problem focused exam of visual system	216	169	$100.00	$89.05
92136 Measurement of corneal curvature and depth of eye	182	182	$240.00	$32.07
92134 Imaging of retina	144	126	$100.00	$40.86
66982 Complex removal of cataract with insertion of prosthetic lens	139	101	$2400.00	$815.01
92133 Imaging of optic nerve	131	128	$100.00	$37.17
66821 Removal of recurring cataract in lens capsule using a laser	122	122	$963.93	$401.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	59	$65.00	$45.12
92083 Exam of visual field with extended testing	71	69	$165.00	$64.88
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$100.00	$73.99
92025 Ct scan of cornea	22	21	$100.00	$35.45
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	20	20	$1560.00	$453.44
92002 New patient problem focused exam of visual system	16	16	$125.00	$84.93
0191T Internal insertion of eye fluid drainage device	16	12	$3018.75	$348.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,484	1,438	$145.00	$127.02
66984 Removal of cataract with insertion of lens	423	268	$2014.18	$652.20
92136 Measurement of corneal curvature and depth of eye	362	362	$240.00	$79.66
92012 Established patient problem focused exam of visual system	312	282	$100.00	$88.29
92004 New patient complete exam of visual system	312	312	$160.00	$151.87
92136 Measurement of corneal curvature and depth of eye	268	268	$240.00	$31.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	267	197	$65.00	$43.81
92134 Imaging of retina	250	235	$100.00	$41.50
66982 Complex removal of cataract with insertion of prosthetic lens	218	158	$2400.00	$809.71
92133 Imaging of optic nerve	190	187	$100.00	$37.72
66821 Removal of recurring cataract in lens capsule using a laser	160	158	$993.13	$403.06
92083 Exam of visual field with extended testing	145	144	$165.00	$64.99
99213 Established patient office or other outpatient visit, typically 15 minutes	67	57	$100.00	$72.56
92250 Photography of the retina	48	48	$145.00	$57.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$150.00	$107.13
92285 Photography of content of eyes	21	21	$55.00	$19.55
92060 Exam to measure eye deviation and range of motion	17	17	$100.00	$65.17
65855 Laser repair to improve eye fluid flow	17	16	$1070.59	$311.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	694	680	$125.00	$119.62
66984 Removal of cataract with insertion of lens	302	201	$2019.87	$626.31
92136 Measurement of corneal curvature and depth of eye	217	217	$240.00	$87.10
92012 Established patient problem focused exam of visual system	215	181	$100.00	$82.89
92136 Measurement of corneal curvature and depth of eye	133	133	$240.00	$30.78
66821 Removal of recurring cataract in lens capsule using a laser	129	129	$1047.29	$394.74
92133 Imaging of optic nerve	111	109	$100.00	$35.98
92083 Exam of visual field with extended testing	110	108	$165.00	$62.78
92004 New patient complete exam of visual system	107	107	$145.00	$141.97
66982 Complex removal of cataract with insertion of prosthetic lens	107	84	$2400.00	$773.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	69	$65.00	$41.98
92134 Imaging of retina	66	62	$100.00	$39.67
65855 Laser repair to improve eye fluid flow	19	18	$994.74	$285.43
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	14	14	$1485.71	$408.68

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VT 042-0010054

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 NH 10966

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

30201296 (NH)

Medicaid State Provider ID

0VN2361 (VT)

Hospital & Practice Group Affiliations

Shippee Family Eye Care Pc

580 Saint Johnsbury Rd, Littleton, NH 035613437

Phone: 6034442184

Shippee Family Eye Care Pc

468 Hospital Dr, Saint Johnsbury, VT 058199225

Phone: 8022237723

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Brian Mawhinney , OD

Optometrist

NPI 1467448613

Doctor of Optometry

Dr. Miranda Renfrow , DO

Ophthalmology

NPI 1598915332

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Lindstrom , OD

Optometrist

NPI 1649266149

Doctor of Optometry

Dr. Ted Houle , MD

Ophthalmology

NPI 1871589366

Doctor of Medicine (M.D.)

Dr. Krista Haight , MD

Ophthalmology

NPI 1881810505

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 August 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2016

Registered at 1290 HOSPITAL DR, SUITE 5, ST JOHNSBURY, VT 058199239 (Tel: 8027488126)

📍

Updated Business Mailing Address August 08, 2016

Registered at 1290 HOSPITAL DR, SUITE 5, SAINT JOHNSBURY, VT 058199205 (Tel: 8027488126)

👤

Provider Name / Credentials Updated August 08, 2016

Recorded as STEPHEN PHIPPS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Ophthalmology (License #042-0010054 in VT)

🟢

Initial NPI Registration & Enumeration September 19, 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: 1649265497

Entity Type:

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

Enumeration Date: September 19, 2005

Last Update: August 08, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1290 Hospital Dr, Suite 5

Saint Johnsbury, VT 058199205

Phone: 8027488126

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.