Active NPI 1962469270 Individual Practitioner Male Practitioner

Dr. John A Stefano , MD

Ophthalmology • Winchester, VA

Professional Overview & Biography Verified Profile Summary

Dr. John Stefano, MD is a registered healthcare professional specializing in Ophthalmology in Winchester, VA. Practice services are available at 142 LINDEN DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, closure of tear duct opening using plug, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

142 Linden Drive
Ste 108

Winchester, VA 22601

Telephone 5407226200

Fax 5407222044

Associated Practice Facility / Clinic

🏢 John A Stefano, Md Pc Facility NPI 1881752277

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Winchester, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.5 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

14 Specialists

Practicing in Winchester, VA (619 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.2% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	285	271	$170.76	$126.97
99213 Established patient office or other outpatient visit, typically 15 minutes	188	140	$125.00	$89.50
68761 Closure of tear duct opening using plug	104	21	$250.00	$100.96
92134 Imaging of retina	98	96	$74.00	$39.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	69	$66.00	$56.03
92136 Measurement of corneal curvature and depth of eye	77	42	$95.79	$38.85
92083 Exam of visual field with extended testing	66	63	$120.00	$62.82
92133 Imaging of optic nerve	64	63	$74.00	$33.78
66984 Removal of cataract with insertion of lens	57	41	$1628.14	$535.22
66821 Removal of recurring cataract in lens capsule using a laser	54	40	$614.00	$329.27
66984 Removal of cataract with insertion of lens	37	27	$1668.00	$524.60
92014 Established patient complete exam of visual system	28	27	$180.00	$125.31
92250 Photography of the retina	27	27	$110.00	$36.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$242.00	$164.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	388	350	$165.93	$125.81
92012 Established patient problem focused exam of visual system	265	150	$144.32	$89.82
92136 Measurement of corneal curvature and depth of eye	262	135	$186.53	$39.05
68761 Closure of tear duct opening using plug	201	22	$212.49	$91.79
66984 Removal of cataract with insertion of lens	200	126	$2416.80	$507.04
92134 Imaging of retina	157	146	$114.43	$39.60
92004 New patient complete exam of visual system	135	135	$209.78	$149.63
66821 Removal of recurring cataract in lens capsule using a laser	95	62	$845.75	$326.46
92250 Photography of the retina	91	87	$137.36	$36.80
92133 Imaging of optic nerve	77	64	$114.62	$34.27
92083 Exam of visual field with extended testing	73	68	$128.90	$62.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$170.00	$127.31
66984 Removal of cataract with insertion of lens	25	19	$1668.00	$537.13
66982 Complex removal of cataract with insertion of prosthetic lens	23	18	$3000.00	$716.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$69.43	$56.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	461	406	$165.00	$128.08
92136 Measurement of corneal curvature and depth of eye	410	206	$200.00	$40.61
92012 Established patient problem focused exam of visual system	379	185	$145.00	$90.23
66984 Removal of cataract with insertion of lens	351	203	$2500.00	$514.60
68761 Closure of tear duct opening using plug	291	28	$185.00	$94.37
92004 New patient complete exam of visual system	205	205	$210.00	$150.61
92134 Imaging of retina	159	147	$120.00	$40.21
66821 Removal of recurring cataract in lens capsule using a laser	134	91	$870.00	$337.06
92133 Imaging of optic nerve	104	83	$120.00	$35.10
92250 Photography of the retina	101	96	$140.00	$36.79
92083 Exam of visual field with extended testing	87	72	$130.00	$63.67
66982 Complex removal of cataract with insertion of prosthetic lens	35	28	$3000.00	$715.97
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	32	19	$920.00	$301.08
76514 Ultrasound scan of cornea to determine thickness	11	11	$95.00	$11.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	458	424	$165.00	$127.20
92012 Established patient problem focused exam of visual system	425	214	$145.00	$90.41
92136 Measurement of corneal curvature and depth of eye	397	214	$200.00	$43.96
66984 Removal of cataract with insertion of lens	290	169	$2500.00	$503.64
68761 Closure of tear duct opening using plug	287	31	$185.64	$96.46
92004 New patient complete exam of visual system	251	251	$210.00	$151.08
66821 Removal of recurring cataract in lens capsule using a laser	164	105	$870.00	$337.20
92134 Imaging of retina	147	132	$120.00	$40.17
92133 Imaging of optic nerve	103	87	$120.00	$34.91
92083 Exam of visual field with extended testing	101	87	$130.00	$62.12
92250 Photography of the retina	99	97	$140.00	$38.52
66982 Complex removal of cataract with insertion of prosthetic lens	31	24	$3000.00	$704.01
76514 Ultrasound scan of cornea to determine thickness	11	11	$95.00	$11.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	504	476	$165.09	$128.12
92012 Established patient problem focused exam of visual system	353	199	$145.00	$89.07
92136 Measurement of corneal curvature and depth of eye	336	173	$200.00	$47.35
66984 Removal of cataract with insertion of lens	308	176	$2500.00	$523.07
92004 New patient complete exam of visual system	257	257	$210.00	$151.67
68761 Closure of tear duct opening using plug	227	36	$189.89	$96.82
92134 Imaging of retina	156	147	$120.00	$40.70
92250 Photography of the retina	141	140	$140.00	$45.48
92083 Exam of visual field with extended testing	136	128	$130.00	$63.77
92133 Imaging of optic nerve	120	112	$120.00	$35.15
66821 Removal of recurring cataract in lens capsule using a laser	112	79	$877.77	$341.18
66982 Complex removal of cataract with insertion of prosthetic lens	47	34	$3000.00	$733.83
65855 Laser repair to improve eye fluid flow	27	12	$1040.00	$252.26
76514 Ultrasound scan of cornea to determine thickness	19	19	$95.00	$11.51
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	16	11	$977.50	$315.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	659	602	$165.21	$126.23
92136 Measurement of corneal curvature and depth of eye	581	302	$200.00	$51.71
66984 Removal of cataract with insertion of lens	404	246	$2500.00	$608.29
92012 Established patient problem focused exam of visual system	329	188	$145.00	$87.82
68761 Closure of tear duct opening using plug	307	33	$185.00	$90.14
92004 New patient complete exam of visual system	282	282	$210.00	$150.38
66821 Removal of recurring cataract in lens capsule using a laser	180	125	$874.83	$331.48
92134 Imaging of retina	178	167	$120.00	$40.04
92250 Photography of the retina	160	159	$140.00	$49.12
92083 Exam of visual field with extended testing	113	94	$130.48	$63.39
92133 Imaging of optic nerve	103	87	$119.74	$34.57
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	85	46	$930.82	$303.70
66982 Complex removal of cataract with insertion of prosthetic lens	61	47	$3000.00	$770.69
92020 Examination of cornea and iris using lens device and slit lamp	34	34	$70.00	$27.80
76514 Ultrasound scan of cornea to determine thickness	19	17	$95.00	$11.96
92285 Photography of content of eyes	14	14	$102.86	$19.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	674	627	$165.00	$124.78
92136 Measurement of corneal curvature and depth of eye	471	237	$200.00	$54.81
66984 Removal of cataract with insertion of lens	457	264	$2500.00	$602.65
92012 Established patient problem focused exam of visual system	405	214	$144.84	$86.92
92004 New patient complete exam of visual system	279	279	$210.00	$149.59
68761 Closure of tear duct opening using plug	252	35	$185.00	$93.09
92250 Photography of the retina	195	191	$140.00	$55.23
66821 Removal of recurring cataract in lens capsule using a laser	148	120	$870.00	$327.72
92134 Imaging of retina	127	118	$120.00	$40.76
92083 Exam of visual field with extended testing	113	96	$130.00	$63.69
92133 Imaging of optic nerve	110	91	$120.00	$34.91
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	68	37	$920.00	$297.19
66982 Complex removal of cataract with insertion of prosthetic lens	31	27	$3000.00	$774.07
92020 Examination of cornea and iris using lens device and slit lamp	28	27	$70.00	$26.76
76514 Ultrasound scan of cornea to determine thickness	22	22	$95.00	$14.32
92286 Imaging of front third of eye using a special microscope	13	12	$250.00	$36.53
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$870.00	$310.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	785	732	$165.00	$121.31
92136 Measurement of corneal curvature and depth of eye	625	323	$200.00	$60.77
66984 Removal of cataract with insertion of lens	497	295	$2500.00	$595.34
92012 Established patient problem focused exam of visual system	446	241	$145.00	$83.45
92004 New patient complete exam of visual system	334	334	$210.00	$145.50
68761 Closure of tear duct opening using plug	282	34	$185.00	$87.49
92250 Photography of the retina	238	232	$140.00	$62.23
92083 Exam of visual field with extended testing	148	121	$130.00	$62.51
92133 Imaging of optic nerve	133	112	$120.00	$34.32
92134 Imaging of retina	128	120	$120.00	$39.70
66821 Removal of recurring cataract in lens capsule using a laser	115	82	$870.00	$320.01
66982 Complex removal of cataract with insertion of prosthetic lens	42	28	$3000.00	$768.17
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	36	21	$920.00	$283.05
76514 Ultrasound scan of cornea to determine thickness	23	23	$95.00	$13.96
92285 Photography of content of eyes	14	14	$80.00	$19.75
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$70.00	$26.59
92286 Imaging of front third of eye using a special microscope	12	11	$250.00	$37.08

Medical Specialties & State Licenses

CMS Verified: 2023-10-24

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101034777

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

001721275 (VA)

Commercial Insurance / Payer ID Medicare Railroad

180040551 (VA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Michael Bert , OD

Optometrist

NPI 1306844261

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 October 24, 2023

Registered at 2010 BREMO RD STE 128A, RICHMOND, VA 232262444 (Tel: 8779690392)

✅

NPI Profile Active January 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2008

Registered at 142 LINDEN DRIVE, STE 108, WINCHESTER, VA 22601 (Tel: 5407226200)

📍

Updated Business Mailing Address January 15, 2008

Registered at 142 LINDEN DRIVE, STE 108, WINCHESTER, VA 22601 (Tel: 5407226200)

👤

Provider Name / Credentials Updated January 15, 2008

Recorded as JOHN STEFANO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2008

Ophthalmology (License #0101034777 in VA)

🟢

Initial NPI Registration & Enumeration April 28, 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: 1962469270

Entity Type:

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

Enumeration Date: April 28, 2006

Last Update: October 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2010 Bremo Rd Ste 128a

Richmond, VA 232262444

Phone: 8779690392

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.