DR. STEPHEN JAMES WINSLOW JR. M.D.
NPI 1053541946
Ophthalmology in Sebastian, FL

Active since July 25, 2009PECOS EnrolledAccepts Medicare Assignment
88.97/100
CMS Quality Rating
14410 US HIGHWAY 1, SEBASTIAN, FL 32958(772) 589-8111(772) 589-7561 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2016, Aug 9, 2016 (2 updates tracked since 2016).

About Dr. Stephen James Winslow Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN JAMES WINSLOW JR. M.D. (NPI 1053541946) is an individual ophthalmology provider in Sebastian, Florida, licensed in Florida (ME115563) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Sebastian River Medical Center, and is a graduate of University Of Texas Medical School At Houston (2009).

NPPES Registry Identity

NPI1053541946
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN JAMES WINSLOW JR.Credential: M.D.
Location Address14410 US HIGHWAY 1Sebastian, FL 32958-3237
Mailing Address14410 Us Highway 1Sebastian, FL 32958-3237 · (772) 589-8111 · Fax (772) 589-7561
Fax(772) 589-7561
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2009
Enumeration DateJuly 25, 2009
Last NPPES UpdateSeptember 21, 20162 updates tracked since enumeration
NPI 1053541946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME115563
Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 539231 (TX)
14410 US HIGHWAY 1, Sebastian, FL 32958

Other Identifiers 8

Other5541791FL · Aetna
Other4185796FL · Cigna
Medicare PINHJ176YFL
Medicare PINHJ176ZFL
Other12534140Caqh
Medicaid088554-00FL
Other14PW6FL · Bcbs
Medicare PINHJ176WFL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen James Winslow Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799926457
PECOS Enrollment IDI20130723001017
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
489 services442 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
282 services173 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
234 services209 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
138 services133 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
134 services74 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
127 services77 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32958 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost63.23

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
14410 US HIGHWAY 1
SEBASTIAN, FL 32958
Ophthalmology
14410 US HIGHWAY 1
SEBASTIAN, FL 32958
Ophthalmology
14410 US HIGHWAY 1
SEBASTIAN, FL 32958
Optometrist
14410 US HIGHWAY 1
SEBASTIAN, FL 32958
Clinic/Center (Ambulatory Surgical)
14410 US HIGHWAY 1
SEBASTIAN, FL 32958
Ophthalmology
14410 US HIGHWAY 1
SEBASTIAN, FL 32958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Winslow's NPI number?

The NPI number for Stephen Winslow is 1053541946. It was assigned to this individual provider in the NPPES registry on July 25, 2009.

Where is Stephen Winslow located?

Stephen Winslow practices at 14410 Us Highway 1, Sebastian, FL 32958. The listed phone number is (772) 589-8111.

What is Stephen Winslow's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Stephen Winslow enrolled in Medicare?

Yes. Stephen Winslow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Winslow accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 1 other insurer list Stephen Winslow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Winslow affiliated with any hospitals?

According to CMS data, Stephen Winslow is affiliated with Sebastian River Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Winslow was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.