Active NPI 1497709174 Individual Practitioner Female Practitioner

Dr. Kimberly E Stepien , MD

Ophthalmology • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Stepien, MD is a certified Ophthalmology practicing in Madison, WI. With approximately 24 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2002, Dr. Stepien delivers high-quality medical care to the local community at 2880 UNIVERSITY AVE.

Dr. Stepien is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, injection of drug into eye, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2880 University Ave

Madison, WI 537053644

Telephone 6082637171

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Inc Facility NPI 1043271034

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +3.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

95 Specialists

Practicing in Madison, WI (464 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stepien (24 Years) 24 Yrs

Madison Specialty Average (21.0 Years) 21.0 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
92134 Imaging of retina	885	301	$135.00	$23.19
67028 Injection of drug into eye	468	116	$1540.35	$88.79
99213 Established patient office or other outpatient visit, typically 15 minutes	336	149	$234.00	$61.03
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	252	155	$35.00	$15.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	170	$343.00	$90.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$535.00	$123.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	904	290	$135.30	$23.67
67028 Injection of drug into eye	481	110	$1527.43	$89.81
99213 Established patient office or other outpatient visit, typically 15 minutes	445	168	$218.30	$61.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	133	$314.60	$91.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$494.30	$118.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	797	265	$134.00	$24.16
67028 Injection of drug into eye	416	102	$1573.54	$91.96
99213 Established patient office or other outpatient visit, typically 15 minutes	399	160	$204.00	$62.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	152	$294.00	$92.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$462.00	$127.45
92201 Extended exam of the back part of the eye with retinal drawing	13	11	$172.00	$21.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	797	251	$134.00	$24.51
67028 Injection of drug into eye	491	102	$1603.20	$94.25
99213 Established patient office or other outpatient visit, typically 15 minutes	459	164	$194.00	$63.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	146	$280.00	$94.66
92201 Extended exam of the back part of the eye with retinal drawing	18	13	$172.00	$22.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$440.00	$129.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$308.00	$79.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	614	227	$109.00	$25.06
99213 Established patient office or other outpatient visit, typically 15 minutes	442	197	$185.00	$49.02
67028 Injection of drug into eye	399	91	$1661.35	$103.70
92201 Extended exam of the back part of the eye with retinal drawing	32	28	$119.00	$22.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$266.00	$76.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$293.00	$72.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	670	234	$103.00	$25.49
99213 Established patient office or other outpatient visit, typically 15 minutes	642	213	$176.00	$49.23
67028 Injection of drug into eye	405	97	$1749.27	$109.85
92226 Examination of eye by ophthalmoscope with retinal drawing	74	36	$118.00	$18.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$254.00	$75.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$280.00	$73.20
92225 Examination of eye by ophthalmoscope with retinal drawing	26	14	$139.15	$21.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	576	226	$98.00	$25.41
99213 Established patient office or other outpatient visit, typically 15 minutes	574	221	$171.00	$48.84
67028 Injection of drug into eye	362	100	$1663.30	$106.24
92226 Examination of eye by ophthalmoscope with retinal drawing	88	51	$112.00	$18.64
92225 Examination of eye by ophthalmoscope with retinal drawing	47	27	$134.00	$21.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$273.00	$72.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$246.00	$73.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$390.00	$123.97
92250 Photography of the retina	13	13	$121.00	$21.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	433	193	$98.00	$25.14
99213 Established patient office or other outpatient visit, typically 15 minutes	367	166	$165.00	$48.80
67028 Injection of drug into eye	226	79	$1533.77	$101.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$263.00	$72.34
92226 Examination of eye by ophthalmoscope with retinal drawing	28	15	$112.00	$18.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$237.00	$75.63
92225 Examination of eye by ophthalmoscope with retinal drawing	19	11	$134.00	$21.01

Medical Specialties & State Licenses

CMS Verified: 2023-07-28

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 50403

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

34789300 (WI)

Medicaid State Provider ID

1497709174 (WI)

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

2349 Deming Way, Middleton, WI 535625530

Phone: 6088369990

Secondary Practice Locations

5249 E Terrace Dr

Madison, WI 537188339

Phone: 6082651270

Practice Associates & Co-Workers

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

38 Associated Practitioners

Dr. Roomasa Channa , MBBS

Ophthalmology

NPI 1013204163

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Heather Potter , MD

Ophthalmology

NPI 1013983584

Doctor of Medicine (M.D.)

Karla Wethal , PA

Physician Assistant

NPI 1063897163

Physician Assistant

Dr. Yasmin Bradfield , MD

Ophthalmology

NPI 1073589545

Doctor of Medicine (M.D.)

Dr. Kallie Harrier , OD

Optometrist

NPI 1083271902

Doctor of Optometry

Dr. Michael Rickels , OD

Optometrist

NPI 1124332283

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 28, 2023

Registered at 2880 UNIVERSITY AVE, MADISON, WI 537053644 (Tel: 6082637171)

✅

NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 08, 2016

Registered at 2349 DEMING WAY, MIDDLETON, WI 535625530 (Tel: 6088243937)

📍

Updated Business Mailing Address November 08, 2016

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531 (Tel: 6088269274)

👤

Provider Name / Credentials Updated November 08, 2016

Recorded as KIMBERLY STEPIEN, MD

🎓

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

Ophthalmology (License #50403 in WI)

🟢

Initial NPI Registration & Enumeration May 19, 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: 1497709174

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: July 28, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

Phone: 6088269274

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.