DR. MARY A STEFANYSZYN MD
NPI 1245239318
Ophthalmology in Wynnewood, PA

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EAST, WYNNEWOOD, PA 19096(610) 649-1970 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary A Stefanyszyn Md NPPES

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

DR. MARY A STEFANYSZYN MD (NPI 1245239318) is an individual ophthalmology provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD022299E) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1978).

NPPES Registry Identity

NPI1245239318
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARY A STEFANYSZYNCredential: MD
Location Address100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EASTWynnewood, PA 19096-3450
Mailing Address100 E Lancaster Ave, Suite 256 Medical Bldg EastWynnewood, PA 19096-3450 · (610) 649-1970
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1978
Enumeration DateJuly 20, 2005
Last NPPES UpdateJuly 2, 2008
NPI 1245239318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD022299E
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.
100 E LANCASTER AVE, Wynnewood, PA 19096

Other Identifiers 5

Medicare NSC0180009411PA
Medicare ID-Type Unspecified120487FOHPA
Medicaid0885754PA
Medicare UPINB37173PA
Medicare PIN692389NJ

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. Mary A Stefanyszyn 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 ID5991991127
PECOS Enrollment IDI20101130000258
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 13

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.

Injection, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
9,200 services37 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.
341 services199 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.
238 services155 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
92 services37 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
52 services52 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
50 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

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.

Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096

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 Mary Stefanyszyn's NPI number?

The NPI number for Mary Stefanyszyn is 1245239318. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Mary Stefanyszyn located?

Mary Stefanyszyn practices at 100 E Lancaster Ave Suite 256 Medical Bldg East, Wynnewood, PA 19096. The listed phone number is (610) 649-1970.

What is Mary Stefanyszyn's specialty?

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

Is Mary Stefanyszyn enrolled in Medicare?

Yes. Mary Stefanyszyn 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 Mary Stefanyszyn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mary Stefanyszyn 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 Mary Stefanyszyn was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.