JEFFREY RYAN STETLER MD
NPI 1053818534
Ophthalmology in Charlotte, NC

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000(704) 295-3468 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2023, Sep 26, 2022, Apr 10, 2018 (3 updates tracked since 2018).

About Jeffrey Ryan Stetler Md NPPES

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

JEFFREY RYAN STETLER MD (NPI 1053818534) is an individual ophthalmology provider in Charlotte, North Carolina, licensed in North Carolina (2023-00872) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1053818534
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJEFFREY RYAN STETLERCredential: MD
Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468
Fax(704) 295-3468
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2023
Enumeration DateApril 10, 2018
Last NPPES UpdateJanuary 22, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
NPI 1053818534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 2023-00872 Licensed in MO · 2022027091
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.
6035 FAIRVIEW RD, Charlotte, NC 28210

Secondary Practice Location 1

Location 1One Hospital DrColumbia, MO 65212-0001 · Phone (573) 884-3937 · Fax (573) 884-5575

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

Jeffrey Ryan Stetler Md 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 ID7315274792
PECOS Enrollment IDI20230901001252
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 12

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
219 services151 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.
178 services131 patients
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.
140 services139 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.
116 services71 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.
104 services88 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
93 services93 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Speech-Language Pathologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Optometrist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Ophthalmology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210

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 Jeffrey Stetler's NPI number?

The NPI number for Jeffrey Stetler is 1053818534. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Jeffrey Stetler located?

Jeffrey Stetler practices at 6035 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 295-3000.

What is Jeffrey Stetler's specialty?

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

Is Jeffrey Stetler enrolled in Medicare?

Yes. Jeffrey Stetler 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 Jeffrey Stetler accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Molina Healthcare and UnitedHealthcare list Jeffrey Stetler 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 Jeffrey Stetler affiliated with any hospitals?

According to CMS data, Jeffrey Stetler is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Stetler was last updated on January 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.