Active NPI 1619957230 Individual Practitioner Male Practitioner

Dr. Stephen J Merfeld , MD

Ophthalmology • Oshkosh, WI

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Merfeld, MD is a registered healthcare professional specializing in Ophthalmology in Oshkosh, WI. Practice services are available at 1885 W POINTE DR under active NPI credentials.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, imaging of retina, 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

1885 W Pointe Dr

Oshkosh, WI 549024174

Telephone 9202326550

Fax 9202326552

Associated Practice Facility / Clinic

🏢 Northeast Wisconsin Vision Center, Ltd. Facility NPI 1295715415

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Oshkosh, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Oshkosh, WI (464 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.4% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	147	85	$2750.00	$434.32
92134 Imaging of retina	140	43	$200.00	$38.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	129	$120.00	$119.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$170.00	$160.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	67	$60.00	$54.12
67028 Injection of drug into eye	102	16	$274.51	$114.27
76519 Ultrasound of eye for determination of lens power	82	82	$275.00	$65.60
92133 Imaging of optic nerve	60	57	$200.00	$32.40
66821 Removal of recurring cataract in lens capsule using a laser	59	47	$1000.00	$286.41
92083 Exam of visual field with extended testing	58	55	$110.00	$60.69
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$85.00	$85.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	24	$120.00	$107.16
92014 Established patient complete exam of visual system	24	24	$125.00	$122.95
92012 Established patient problem focused exam of visual system	15	14	$80.00	$80.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	172	11	$1500.00	$918.60
66984 Removal of cataract with insertion of lens	168	100	$2750.00	$443.09
92134 Imaging of retina	152	40	$200.00	$37.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$170.00	$160.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	119	$120.00	$120.02
67028 Injection of drug into eye	121	18	$280.99	$116.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	66	$60.00	$54.29
76519 Ultrasound of eye for determination of lens power	105	105	$275.00	$65.17
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$85.00	$85.48
92083 Exam of visual field with extended testing	75	67	$110.00	$55.46
92133 Imaging of optic nerve	63	58	$200.00	$29.65
92014 Established patient complete exam of visual system	50	49	$125.00	$123.56
66821 Removal of recurring cataract in lens capsule using a laser	44	35	$1000.00	$302.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$120.00	$107.81
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$2950.00	$656.69
92250 Photography of the retina	12	12	$140.00	$37.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	132	$85.00	$72.45
92134 Imaging of retina	151	42	$200.00	$34.42
66984 Removal of cataract with insertion of lens	146	90	$2750.00	$453.95
92014 Established patient complete exam of visual system	112	109	$125.00	$123.84
67028 Injection of drug into eye	111	17	$272.52	$103.79
76519 Ultrasound of eye for determination of lens power	90	90	$275.00	$65.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	58	$60.00	$44.02
92083 Exam of visual field with extended testing	65	39	$110.00	$37.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$120.00	$104.57
66821 Removal of recurring cataract in lens capsule using a laser	53	41	$1000.00	$304.23
92133 Imaging of optic nerve	45	39	$200.00	$26.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$170.00	$158.54
92250 Photography of the retina	28	27	$140.00	$43.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$120.00	$106.11
92012 Established patient problem focused exam of visual system	15	13	$80.00	$80.77
92285 Photography of content of eyes	13	13	$70.00	$20.26
92004 New patient complete exam of visual system	12	12	$160.00	$148.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	210	131	$2750.00	$518.29
99213 Established patient office or other outpatient visit, typically 15 minutes	189	149	$85.00	$71.98
92134 Imaging of retina	163	52	$200.00	$33.49
92014 Established patient complete exam of visual system	161	160	$125.00	$122.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$170.00	$157.99
76519 Ultrasound of eye for determination of lens power	123	123	$275.00	$64.81
67028 Injection of drug into eye	105	16	$743.33	$104.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	70	$60.00	$43.63
66821 Removal of recurring cataract in lens capsule using a laser	75	54	$1000.00	$277.42
92083 Exam of visual field with extended testing	63	62	$110.00	$61.59
92133 Imaging of optic nerve	54	52	$200.00	$29.12
J9035 Injection, bevacizumab, 10 mg	39	12	$76.92	$74.01
92012 Established patient problem focused exam of visual system	35	35	$80.00	$79.92
83861 Microfluid analysis of tears	24	12	$40.00	$22.03
65820 Incision to improve eye fluid flow	19	13	$1460.00	$653.32
92250 Photography of the retina	16	16	$140.00	$48.75
92285 Photography of content of eyes	15	15	$79.33	$20.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$120.00	$104.22
66982 Complex removal of cataract with insertion of prosthetic lens	14	13	$2950.00	$632.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$120.00	$105.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	229	144	$2750.00	$517.58
99213 Established patient office or other outpatient visit, typically 15 minutes	166	138	$85.00	$69.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	148	148	$170.00	$155.87
76519 Ultrasound of eye for determination of lens power	144	144	$275.00	$71.34
92134 Imaging of retina	139	56	$200.00	$34.10
92014 Established patient complete exam of visual system	124	122	$125.00	$122.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	79	$60.00	$41.99
67028 Injection of drug into eye	97	17	$262.89	$100.30
J9035 Injection, bevacizumab, 10 mg	80	14	$75.00	$73.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	77	$120.00	$103.47
92083 Exam of visual field with extended testing	63	60	$110.00	$60.08
66821 Removal of recurring cataract in lens capsule using a laser	62	48	$1000.00	$292.63
92133 Imaging of optic nerve	62	60	$200.00	$29.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$120.00	$102.51
83861 Microfluid analysis of tears	34	17	$40.00	$22.03
92004 New patient complete exam of visual system	32	32	$160.00	$143.60
92012 Established patient problem focused exam of visual system	23	21	$80.00	$78.92
92285 Photography of content of eyes	16	16	$70.00	$19.66
92250 Photography of the retina	15	15	$140.00	$51.97
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$85.00	$26.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	254	156	$2750.00	$522.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	222	$120.00	$103.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	188	188	$170.00	$155.83
83861 Microfluid analysis of tears	186	93	$40.00	$22.21
76519 Ultrasound of eye for determination of lens power	172	172	$260.35	$79.79
92134 Imaging of retina	169	54	$200.00	$34.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	82	$60.00	$41.59
67028 Injection of drug into eye	118	19	$271.19	$101.70
99213 Established patient office or other outpatient visit, typically 15 minutes	115	96	$85.00	$69.40
J9035 Injection, bevacizumab, 10 mg	102	14	$75.00	$73.16
66821 Removal of recurring cataract in lens capsule using a laser	86	69	$1000.00	$290.66
92014 Established patient complete exam of visual system	82	81	$125.00	$119.22
92133 Imaging of optic nerve	63	62	$200.00	$31.17
92083 Exam of visual field with extended testing	59	56	$110.00	$60.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$120.00	$102.99
92012 Established patient problem focused exam of visual system	27	23	$80.00	$79.05
92250 Photography of the retina	27	27	$140.00	$62.92
92285 Photography of content of eyes	19	18	$70.00	$18.49
65855 Laser repair to improve eye fluid flow	18	15	$1200.00	$195.69
0191T Internal insertion of eye fluid drainage device	18	12	$500.00	$421.52
92004 New patient complete exam of visual system	13	13	$160.00	$144.26
65855 Laser repair to improve eye fluid flow	12	11	$1200.00	$235.40

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 34248

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

31935900 (WI)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Paul Payant , OD

Optometrist

NPI 1003264318

Doctor of Optometry

Dr. Eric Larson , MD

Ophthalmology

NPI 1275513467

Doctor of Medicine (M.D.)

Dr. Sean Halpin , OD

Optometrist

NPI 1528048733

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2013

Registered at 1885 W POINTE DR, OSHKOSH, WI 549024174 (Tel: 9202326550)

📍

Updated Business Mailing Address July 10, 2013

Registered at PO BOX 2723, OSHKOSH, WI 549032723 (Tel: 9202326550)

👤

Provider Name / Credentials Updated July 10, 2013

Recorded as STEPHEN MERFELD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2013

Ophthalmology (License #34248 in WI)

🟢

Initial NPI Registration & Enumeration January 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: 1619957230

Entity Type:

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

Enumeration Date: January 19, 2006

Last Update: July 10, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2723

Oshkosh, WI 549032723

Phone: 9202326550

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.