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

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: July 19, 2026.

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
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

Other Identifiers 5

Other4332262Aetna
Other74570001DC · Carefirst
Other330652Mdipa, Opt Choice, Mamsi
OtherLW08MD · Carefirst
Medicaid087111700MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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
Quality64.67
Improvement Activities40

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.

Clinic/Center (Oncology, Radiation)
6420 ROCKLEDGE DR, SUITE 1200
BETHESDA, MD 20817
Audiologist
6420 ROCKLEDGE DR, SUITE 4200
BETHESDA, MD 20817
Psychiatry & Neurology (Neurology)
6420 ROCKLEDGE DR, #2500
BETHESDA, MD 20817
Radiology (Radiation Oncology)
6420 ROCKLEDGE DR, SUITE 1200
BETHESDA, MD 20817
Physician Assistant (Medical)
6420 ROCKLEDGE DR, SUITE 4100
BETHESDA, MD 20817
Physician Assistant (Medical)
6420 ROCKLEDGE DR, SUITE 4100
BETHESDA, MD 20817
Clinic/Center (Ambulatory Surgical)
6420 ROCKLEDGE DR, SUITE 4300
BETHESDA, MD 20817
Surgery
6420 ROCKLEDGE DR, SUITE 3700
BETHESDA, MD 20817

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.

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 with the weekly NPPES data releases published by CMS.