DR. AUGUSTUS GRAHAM STERN M.D.
NPI 1245405240
Ophthalmology in Hagerstown, MD

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
51.3/100
CMS Quality Rating
220 CHAMPION DR, SUITE 100, HAGERSTOWN, MD 21740(301) 791-0888(301) 791-3611 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Augustus Graham Stern M.d. NPPES

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

DR. AUGUSTUS GRAHAM STERN M.D. (NPI 1245405240) is an individual ophthalmology provider in Hagerstown, Maryland, licensed in Maryland (D74254) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2004).

NPPES Registry Identity

NPI1245405240
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. AUGUSTUS GRAHAM STERNCredential: M.D.
Location Address220 CHAMPION DR, SUITE 100Hagerstown, MD 21740-6558
Mailing Address220 Champion Dr, Ste 100Hagerstown, MD 21740-6665 · (301) 791-0888 · Fax (301) 791-3611
Fax(301) 791-3611
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2004
Enumeration DateApril 29, 2008
Last NPPES UpdateJune 13, 2016
NPI 1245405240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MD · D74254 Licensed in LA · 200223 Licensed in TX · N4128
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.
220 CHAMPION DR, Hagerstown, MD 21740

Other Identifiers 3

Medicare PIN263393MD
Medicare PIN8L15733TX
Medicare PINTXB118675TX

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. Augustus Graham Stern 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 ID4183790124
PECOS Enrollment IDI20121018000145
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.

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.
806 services473 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.
682 services386 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.
664 services510 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.
265 services265 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.
191 services164 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.
135 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

51.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost21.02

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers33 claims33 services$47.72 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
3 suppliers25 claims42 services$55.66 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 7

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

Optometrist
220 CHAMPION DR, SUITE 100
HAGERSTOWN, MD 21740
Clinic/Center (Ambulatory Surgical)
220 CHAMPION DR, SUITE 101
HAGERSTOWN, MD 21740
Optometrist
220 CHAMPION DR, SUITE 100
HAGERSTOWN, MD 21740
Eyewear Supplier
220 CHAMPION DR, SUITE 100
HAGERSTOWN, MD 21740
Ophthalmology
220 CHAMPION DR, SUITE 100
HAGERSTOWN, MD 21740
Optometrist
220 CHAMPION DR, SUITE 100
HAGERSTOWN, MD 21740
Optometrist
220 CHAMPION DR, SUITE 100
HAGERSTOWN, MD 21740

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 Augustus Stern's NPI number?

The NPI number for Augustus Stern is 1245405240. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Augustus Stern located?

Augustus Stern practices at 220 Champion Dr Suite 100, Hagerstown, MD 21740. The listed phone number is (301) 791-0888.

What is Augustus Stern's specialty?

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

Is Augustus Stern enrolled in Medicare?

Yes. Augustus Stern 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 Augustus Stern accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Augustus Stern 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 Augustus Stern was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.