DR. STEPHEN S. PAPPAS JR. M.D.
NPI 1306849716
Ophthalmology in Bethesda, MD

Q: What is Stephen Pappas's NPI number?

The NPI number for Stephen Pappas is 1306849716. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Stephen Pappas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Pappas was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 31, 2005PECOS Enrolled

82.33/100

CMS Quality Rating

6420 ROCKLEDGE DR, STE 4900, BETHESDA, MD 20817(301) 571-5000(301) 571-4307 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Stephen S. Pappas Jr. M.d. NPPES

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

DR. STEPHEN S. PAPPAS JR. M.D. (NPI 1306849716) is an individual ophthalmology provider in Bethesda, Maryland, licensed in Maryland (D0044710) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of George Washington University School Of Medicine (1989).

NPPES Registry Identity

NPI1306849716

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. STEPHEN S. PAPPAS JR.Credential: M.D.

Location Address6420 ROCKLEDGE DR, STE 4900Bethesda, MD 20817-7848

Mailing Address6420 Rockledge Dr, Ste 4900Bethesda, MD 20817-7848 · (301) 571-5000 · Fax (301) 571-4307

Phone(301) 571-5000

Fax(301) 571-4307

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 1989

Enumeration DateMay 31, 2005

Last NPPES UpdateSeptember 28, 2020

NPPES CertifiedSeptember 28, 2020

✔ NPI 1306849716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in MD · D0044710✔ Licensed in VA · 0101053846✔ Licensed in DC · MD20175

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.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 0101053846 (VA), MD20175 (DC), D0044710 (MD)

6420 ROCKLEDGE DR, Bethesda, MD 20817

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Other Identifiers 5

Other4332262Aetna

Other74570001DC · Carefirst

Other330652Mdipa, Opt Choice, Mamsi

OtherLW08MD · Carefirst

Medicaid087111700MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen S. Pappas Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214997428

PECOS Enrollment IDI20240620001339

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 Reassignment

Medicare enrollment records show Stephen Pappas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sinai Hospital Of Baltimore Inc

28 mi

Multi-Specialty

6190 GEORGETOWN BLVD STE 102
Eldersburg, MD 21784

Reassigned Medicare billing, Maryland enrollment
664 clinicians in this Medicare group

NPI 1568225282 (410) 601-0900

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 23

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, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

2,521 services11 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.

1,548 services685 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.

622 services268 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.

618 services449 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.

554 services128 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

329 services93 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.

243 services199 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

196 services12 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

137 services128 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.

100 services21 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

76 services17 patients

Imaging of retina 92134

73 services62 patients

Established patient complete exam of visual system 92014

63 services56 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.

50 services50 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

36 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

30 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

29 services23 patients

Photography of the retina 92250

27 services26 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.

27 services19 patients

Injection of drug into eye 67028

23 services18 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

22 services20 patients

Injection of drug or substance into membrane covering eyeball 67515

This procedure involves injecting medication into the membrane covering your eyeball, known as the conjunctiva. It's done to treat various eye conditions. A specialist will numb your eye first to minimize discomfort. You may experience temporary blurred vision afterwards.

18 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210012

Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County

Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210040

Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20817 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

82.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.67

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

76%1,370 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 795 patients

Patients screened: 97% · 830 patients

0%35 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CENTER FOR RETINAL DISEASES AND SURGERY, LLC

Ophthalmology

6420 ROCKLEDGE DR, SUITE 4900
BETHESDA, MD 20817

Montgomery County (301) 571-2000

MS. BARBARA D CHALOM P.A.-C

Hospitalist

6420 ROCKLEDGE DR, 2200
BETHESDA, MD 20817

Montgomery County (301) 896-6880

BARBARA A. SQUILLER RN, CRNP

Nurse Practitioner (Adult Health)

6420 ROCKLEDGE DR, SUITE 3900
BETHESDA, MD 20817

Montgomery County (301) 896-2719

ELAN REISIN MD FACS LLC

Plastic Surgery

6420 ROCKLEDGE DR, SUITE 2300
BETHESDA, MD 20817

Montgomery County (240) 560-5111

DR. WILLIAM J SADLACK M.D.

Orthopaedic Surgery

6420 ROCKLEDGE DR, SUITE 2200
BETHESDA, MD 20817

Montgomery County (301) 530-3220

FOERS PHARMACY

Pharmacy (Community/Retail Pharmacy)

6420 ROCKLEDGE DR
BETHESDA, MD 20817

Montgomery County (301) 493-4422

JOHNS HOPKINS COMMUNITY PHYSICIANS

Internal Medicine

6420 ROCKLEDGE DR
BETHESDA, MD 20817

Montgomery County (410) 933-0000

DR. JODY ELLEN GREEN M.D.

Psychiatry & Neurology (Neurology)

6420 ROCKLEDGE DR, #2500
BETHESDA, MD 20817

Montgomery County (301) 530-9200

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 Pappas's NPI number?

The NPI number for Stephen Pappas is 1306849716. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Stephen Pappas located?

Stephen Pappas practices at 6420 Rockledge Dr Ste 4900, Bethesda, MD 20817. The listed phone number is (301) 571-5000.

What is Stephen Pappas's specialty?

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

Is Stephen Pappas enrolled in Medicare?

Yes. Stephen Pappas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Pappas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Pappas reassigns Medicare benefits to Sinai Hospital Of Baltimore Inc (Eldersburg, MD). The 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 Stephen Pappas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stephen Pappas affiliated with any hospitals?

According to CMS data, Stephen Pappas is affiliated with Sinai Hospital Of Baltimore and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Stephen Pappas was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.