DR. STEPHEN AMBROSE UPDEGRAFF MD
NPI 1245232446
Ophthalmology in St Petersburg, FL

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
1601 38TH AVE N, ST PETERSBURG, FL 33713(727) 822-4287(727) 822-4287 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Jun 25, 2024, Mar 5, 2018 (3 updates tracked since 2018).

About Dr. Stephen Ambrose Updegraff Md NPPES

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

DR. STEPHEN AMBROSE UPDEGRAFF MD (NPI 1245232446) is an individual ophthalmology provider in St Petersburg, Florida, licensed in Florida (ME0067224) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Pennsylvania State University College Of Medicine (1989).

NPPES Registry Identity

NPI1245232446
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN AMBROSE UPDEGRAFFCredential: MD
Location Address1601 38TH AVE NSt Petersburg, FL 33713-1926
Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308 · Fax (239) 496-3939
Fax(727) 822-4287
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1989
Enumeration DateJune 1, 2005
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1245232446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME0067224
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.
1601 38TH AVE N, St Petersburg, FL 33713

Secondary Practice Locations 6

Location 12111 Bee Ridge RdSarasota, FL 34239-6104 · Phone (239) 466-2020
Location 26002 Pointe West BlvdBradenton, FL 34209-5531 · Phone (941) 792-2020
Location 32203 61st St WBradenton, FL 34209-5528 · Phone (239) 466-2020
Location 48787 Bryan Dairy Rd Ste 260Largo, FL 33777-1252 · Phone (864) 657-6706
Location 53894 Sun City Center BlvdSun City Center, FL 33573-6806 · Phone (239) 466-2020
Location 67915 US Highway 301 N Ste 101Ellenton, FL 34222-3532 · Phone (239) 466-2020

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 Ambrose Updegraff 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 ID5496712127
PECOS Enrollment IDI20100526000334
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.

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.
293 services169 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
274 services176 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.
229 services206 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
55 services39 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.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability90
Improvement Activities40
Cost60.73

Other Providers at the Same Location NPPES 12

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

Nurse Anesthetist, Certified Registered
1601 38TH AVE N
ST PETERSBURG, FL 33713
Optometrist
1601 38TH AVE N
ST PETERSBURG, FL 33713
Ophthalmology
1601 38TH AVE N
ST PETERSBURG, FL 33713
Ophthalmology
1601 38TH AVE N
ST PETERSBURG, FL 33713
Ophthalmology
1601 38TH AVE N
ST PETERSBURG, FL 33713
Ophthalmology
1601 38TH AVE N
ST PETERSBURG, FL 33713
Clinic/Center (Ambulatory Surgical)
1601 38TH AVE N
ST PETERSBURG, FL 33713
Nurse Anesthetist, Certified Registered
1601 38TH AVE N
ST PETERSBURG, FL 33713

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 Updegraff's NPI number?

The NPI number for Stephen Updegraff is 1245232446. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Stephen Updegraff located?

Stephen Updegraff practices at 1601 38th Ave N, St Petersburg, FL 33713. The listed phone number is (727) 822-4287.

What is Stephen Updegraff's specialty?

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

Is Stephen Updegraff enrolled in Medicare?

Yes. Stephen Updegraff 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 Updegraff accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Stephen Updegraff 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 Stephen Updegraff was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.