Active NPI 1528009644 Individual Practitioner Male Practitioner

Dr. Stephen M Boorstein , MD

Ophthalmology • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Boorstein, MD is a certified Ophthalmology practicing in Madison, WI. With approximately 34 years of clinical experience since graduating from University Of Michigan Medical School in 1992, Dr. Boorstein delivers high-quality medical care to the local community at 752 N HIGH POINT RD.

Dr. Boorstein is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

752 N High Point Rd

Madison, WI 537172236

Telephone 6088244800

Fax 6088244910

Associated Practice Facility / Clinic

🏢 Dean Health Systems, Inc. Facility NPI 1558372441

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1992

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

34 Yrs +13.0 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

89.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boorstein (34 Years) 34 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
92136 Measurement of corneal curvature and depth of eye	330	165	$408.97	$33.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	187	$361.00	$120.56
92014 Established patient complete exam of visual system	214	213	$396.37	$119.52
92133 Imaging of optic nerve	153	151	$210.00	$31.56
92083 Exam of visual field with extended testing	145	144	$394.00	$59.89
66984 Removal of cataract with insertion of lens	144	92	$7623.00	$421.21
92134 Imaging of retina	129	126	$224.00	$36.72
92025 Ct scan of cornea	123	111	$184.00	$33.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	118	118	$682.00	$205.77
92020 Examination of cornea and iris using lens device and slit lamp	100	100	$142.00	$26.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	84	$506.00	$167.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$544.00	$156.12
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$256.00	$85.30
66982 Complex removal of cataract with insertion of prosthetic lens	42	32	$7893.00	$575.24
66821 Removal of recurring cataract in lens capsule using a laser	37	37	$4323.92	$310.21
92004 New patient complete exam of visual system	26	26	$472.00	$141.67
76514 Ultrasound scan of cornea to determine thickness	13	13	$164.00	$9.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	319	164	$317.66	$36.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	204	$334.75	$122.24
92014 Established patient complete exam of visual system	208	206	$396.00	$121.72
92083 Exam of visual field with extended testing	177	170	$336.00	$60.29
92133 Imaging of optic nerve	171	165	$175.00	$32.45
66984 Removal of cataract with insertion of lens	164	100	$7294.83	$435.20
92025 Ct scan of cornea	144	121	$153.00	$34.16
92134 Imaging of retina	127	122	$186.00	$37.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	103	103	$643.00	$209.14
92020 Examination of cornea and iris using lens device and slit lamp	98	96	$118.00	$26.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	76	$471.94	$169.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$513.00	$156.16
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$236.19	$86.31
66982 Complex removal of cataract with insertion of prosthetic lens	28	24	$7663.00	$617.24
66821 Removal of recurring cataract in lens capsule using a laser	25	25	$3677.20	$289.44
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	25	12	$170.00	$30.75
92004 New patient complete exam of visual system	24	24	$472.00	$145.15
76514 Ultrasound scan of cornea to determine thickness	17	17	$161.00	$10.09

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	359	248	$314.00	$123.44
92136 Measurement of corneal curvature and depth of eye	358	183	$246.96	$38.72
92014 Established patient complete exam of visual system	178	176	$363.00	$122.11
92133 Imaging of optic nerve	167	158	$173.00	$32.64
92025 Ct scan of cornea	167	130	$149.00	$32.77
66984 Removal of cataract with insertion of lens	159	98	$6107.00	$436.66
92083 Exam of visual field with extended testing	152	144	$308.00	$60.24
92134 Imaging of retina	111	106	$175.00	$38.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	108	108	$589.00	$209.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	93	$444.00	$172.09
92020 Examination of cornea and iris using lens device and slit lamp	71	71	$116.00	$26.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$470.00	$158.26
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$212.00	$87.39
92004 New patient complete exam of visual system	37	37	$433.00	$145.80
66982 Complex removal of cataract with insertion of prosthetic lens	31	24	$7317.00	$604.22
66821 Removal of recurring cataract in lens capsule using a laser	29	29	$3403.03	$281.48
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	19	11	$168.00	$31.33
76514 Ultrasound scan of cornea to determine thickness	18	18	$161.00	$10.33
92250 Photography of the retina	11	11	$356.00	$34.84

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	409	301	$295.00	$125.23
92136 Measurement of corneal curvature and depth of eye	328	176	$196.25	$40.40
92025 Ct scan of cornea	167	132	$140.00	$33.50
92133 Imaging of optic nerve	149	141	$166.00	$33.33
92083 Exam of visual field with extended testing	137	126	$279.00	$61.56
92134 Imaging of retina	124	118	$158.00	$38.56
66984 Removal of cataract with insertion of lens	121	74	$5781.00	$437.26
92014 Established patient complete exam of visual system	101	101	$315.00	$123.86
92020 Examination of cornea and iris using lens device and slit lamp	92	91	$113.00	$27.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$451.00	$159.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	84	84	$566.00	$212.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	74	67	$426.00	$173.15
99213 Established patient office or other outpatient visit, typically 15 minutes	48	43	$201.00	$88.29
92004 New patient complete exam of visual system	37	37	$376.00	$147.33
66982 Complex removal of cataract with insertion of prosthetic lens	35	26	$7173.00	$603.99
76514 Ultrasound scan of cornea to determine thickness	29	29	$157.00	$10.53
92082 Exam of visual field with intermediate testing	20	20	$205.00	$46.15
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$4530.11	$324.46
66821 Removal of recurring cataract in lens capsule using a laser	19	19	$3749.05	$294.86
92250 Photography of the retina	17	17	$323.00	$37.77

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	462	391	$281.00	$105.92
92136 Measurement of corneal curvature and depth of eye	187	147	$224.04	$51.63
92133 Imaging of optic nerve	138	136	$150.45	$33.73
92083 Exam of visual field with extended testing	138	135	$276.00	$61.97
92025 Ct scan of cornea	119	95	$138.00	$33.97
66984 Removal of cataract with insertion of lens	116	70	$5612.00	$441.84
92020 Examination of cornea and iris using lens device and slit lamp	105	104	$112.00	$27.40
92134 Imaging of retina	103	100	$144.00	$39.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$430.00	$159.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	58	$406.00	$142.66
92004 New patient complete exam of visual system	58	58	$372.00	$148.04
66982 Complex removal of cataract with insertion of prosthetic lens	31	21	$6964.00	$635.41
76514 Ultrasound scan of cornea to determine thickness	30	30	$143.00	$10.99
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$3889.35	$307.97
92014 Established patient complete exam of visual system	16	16	$312.00	$123.72
66821 Removal of recurring cataract in lens capsule using a laser	15	15	$4225.47	$332.54
92012 Established patient problem focused exam of visual system	11	11	$218.00	$87.03

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	377	326	$277.54	$105.55
92136 Measurement of corneal curvature and depth of eye	271	183	$231.22	$54.42
66984 Removal of cataract with insertion of lens	170	104	$6305.00	$510.25
92025 Ct scan of cornea	143	117	$155.00	$34.57
92004 New patient complete exam of visual system	142	142	$261.00	$148.05
92083 Exam of visual field with extended testing	140	130	$308.23	$62.35
92133 Imaging of optic nerve	125	122	$167.94	$33.41
92014 Established patient complete exam of visual system	118	118	$186.37	$123.89
92134 Imaging of retina	114	111	$159.94	$38.77
92020 Examination of cornea and iris using lens device and slit lamp	114	111	$124.14	$27.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$416.00	$157.38
66982 Complex removal of cataract with insertion of prosthetic lens	46	25	$6424.83	$530.62
92012 Established patient problem focused exam of visual system	38	29	$153.00	$86.34
66821 Removal of recurring cataract in lens capsule using a laser	35	26	$1783.63	$203.55
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$187.00	$71.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$397.18	$141.22
68760 Repair duct opening	29	15	$1023.00	$71.43
66821 Removal of recurring cataract in lens capsule using a laser	19	18	$2929.79	$324.31
92250 Photography of the retina	11	11	$330.00	$48.43

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	402	350	$273.00	$107.56
66984 Removal of cataract with insertion of lens	234	113	$4959.84	$422.27
92136 Measurement of corneal curvature and depth of eye	224	162	$235.67	$62.93
92004 New patient complete exam of visual system	176	176	$255.00	$152.80
92083 Exam of visual field with extended testing	165	158	$300.00	$64.55
92020 Examination of cornea and iris using lens device and slit lamp	157	154	$120.00	$27.21
92133 Imaging of optic nerve	147	145	$160.56	$35.09
92014 Established patient complete exam of visual system	123	123	$184.00	$127.24
92134 Imaging of retina	120	114	$161.00	$40.76
92025 Ct scan of cornea	103	97	$155.00	$35.62
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$184.00	$73.37
66982 Complex removal of cataract with insertion of prosthetic lens	42	25	$5983.00	$546.62
66821 Removal of recurring cataract in lens capsule using a laser	31	30	$2423.81	$281.46
92012 Established patient problem focused exam of visual system	30	26	$150.00	$88.26
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	25	18	$81.00	$12.54
76514 Ultrasound scan of cornea to determine thickness	24	24	$124.00	$14.56
68760 Repair duct opening	21	12	$1116.05	$74.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$407.00	$158.80
92250 Photography of the retina	15	15	$330.00	$55.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$406.00	$146.30

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	499	412	$267.00	$103.02
66984 Removal of cataract with insertion of lens	325	115	$3604.89	$295.41
92136 Measurement of corneal curvature and depth of eye	269	191	$228.14	$65.99
92004 New patient complete exam of visual system	181	181	$250.00	$143.93
92083 Exam of visual field with extended testing	164	154	$299.09	$61.66
92020 Examination of cornea and iris using lens device and slit lamp	158	153	$120.00	$26.07
92133 Imaging of optic nerve	150	144	$160.62	$33.09
92134 Imaging of retina	93	86	$161.00	$38.03
92014 Established patient complete exam of visual system	71	71	$180.00	$117.77
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	56	35	$73.54	$11.85
66982 Complex removal of cataract with insertion of prosthetic lens	55	26	$4855.42	$409.15
92025 Ct scan of cornea	54	49	$150.69	$33.72
76514 Ultrasound scan of cornea to determine thickness	37	37	$106.00	$13.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$399.00	$156.87
92012 Established patient problem focused exam of visual system	32	31	$147.00	$82.09
92250 Photography of the retina	29	29	$322.17	$60.81
68760 Repair duct opening	23	15	$1023.00	$70.12
66821 Removal of recurring cataract in lens capsule using a laser	21	21	$2198.95	$258.56
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$180.00	$69.98

Medical Specialties & State Licenses

CMS Verified: 2020-11-03

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 40438-020

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

1528009644 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

752 N High Point Rd, Madison, WI 537172236

Phone: 6088244000

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2014

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244800)

📍

Updated Business Mailing Address May 05, 2014

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244800)

👤

Provider Name / Credentials Updated May 05, 2014

Recorded as STEPHEN BOORSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Ophthalmology (License #40438-020 in WI)

🟢

Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1528009644

Entity Type:

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

Enumeration Date: June 09, 2006

Last Update: November 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

752 N High Point Rd

Madison, WI 537172236

Phone: 6088244800

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.