Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIGEL A STIPPA M.D.
NPI 1104200468
Ophthalmology in Phoenix, AZ

Active since July 16, 2015PECOS Enrolled
1750 E GLENDALE AVE, PHOENIX, AZ 85020(602) 242-4928(602) 249-4813 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2020, Apr 10, 2019 (2 updates tracked since 2019).

About Nigel A Stippa M.d. NPPES

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

NIGEL A STIPPA M.D. (NPI 1104200468) is an individual ophthalmology provider in Phoenix, Arizona, licensed in Massachusetts (282689) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2019).

NPPES Registry Identity

NPI1104200468
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNIGEL A STIPPACredential: M.D.
Location Address1750 E GLENDALE AVEPhoenix, AZ 85020-5505
Mailing Address740 Williams St Ste 3Pittsfield, MA 01201-7462 · (413) 445-4564 · Fax (413) 448-2727
Fax(602) 249-4813
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2019
Enumeration DateJuly 16, 2015
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1104200468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 282689
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.
1750 E GLENDALE AVE, Phoenix, AZ 85020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nigel A Stippa 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 ID941593883
PECOS Enrollment IDI20200107000693, I20200421000532
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nigel Stippa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
Ophthalmology
740 WILLIAMS ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts and New York enrollments
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

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.
2,142 services764 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,388 services283 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,352 services106 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.
1,181 services1,120 patients
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.
1,161 services779 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
982 services209 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85020 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers21 claims21 services$47.93 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims23 services$23.26 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers14 claims27 services$37.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology (Retina Specialist)
1750 E GLENDALE AVE
PHOENIX, AZ 85020
Ophthalmology (Retina Specialist)
1750 E GLENDALE AVE
PHOENIX, AZ 85020
Specialist/Technologist, Other (Surgical Technologist)
1750 E GLENDALE AVE
PHOENIX, AZ 85020
Specialist/Technologist, Other (Surgical Assistant)
1750 E GLENDALE AVE
PHOENIX, AZ 85020
Ophthalmology (Retina Specialist)
1750 E GLENDALE AVE
PHOENIX, AZ 85020
Technician/Technologist (Ophthalmic Assistant)
1750 E GLENDALE AVE
PHOENIX, AZ 85020
Ophthalmology (Retina Specialist)
1750 E GLENDALE AVE
PHOENIX, AZ 85020
Ophthalmology (Retina Specialist)
1750 E GLENDALE AVE
PHOENIX, AZ 85020

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 Nigel Stippa's NPI number?

The NPI number for Nigel Stippa is 1104200468. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Nigel Stippa located?

Nigel Stippa practices at 1750 E Glendale Ave, Phoenix, AZ 85020. The listed phone number is (602) 242-4928.

What is Nigel Stippa's specialty?

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

Is Nigel Stippa enrolled in Medicare?

Yes. Nigel Stippa 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.

Which organizations bill Medicare for Nigel Stippa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nigel Stippa reassigns Medicare benefits to 2 organizations: District Medical Group, Inc (Phoenix, AZ) and Berkshire Eye Center PC (Pittsfield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nigel Stippa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nigel Stippa accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Nigel Stippa 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.

When was this NPI record last updated?

The NPPES record for Nigel Stippa was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.