STEPHEN ROTH KLAPPER MD FACS
NPI 1316910607
Ophthalmology in Carmel, IN

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
11900 N PENNSYLVANIA ST, SUITE 104, CARMEL, IN 46032(317) 818-1000(317) 818-1001 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Roth Klapper Md Facs NPPES

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

STEPHEN ROTH KLAPPER MD FACS (NPI 1316910607) is an individual ophthalmology provider in Carmel, Indiana, licensed in Indiana (01048211A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Mooresville, and is a graduate of Indiana University School Of Medicine (1992).

NPPES Registry Identity

NPI1316910607
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEPHEN ROTH KLAPPERCredential: MD FACS
Location Address11900 N PENNSYLVANIA ST, SUITE 104Carmel, IN 46032-4693
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(317) 818-1001
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1992
Enumeration DateFebruary 8, 2006
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
NPI 1316910607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01048211A
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.

11900 N PENNSYLVANIA ST, Carmel, IN 46032

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

Stephen Roth Klapper Md Facs 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 ID8123166857
PECOS Enrollment IDI20091117000393
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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,424 services21 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.
105 services83 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.
102 services102 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.
97 services97 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.
94 services79 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
90 services90 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
66%785 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%865 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
82%34 patients4/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%1,498 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
71%785 patients4/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
53%1,498 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
83%24 patients
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 7

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

Dermatology
11900 N PENNSYLVANIA ST, #202
CARMEL, IN 46032
Dermatology
11900 N PENNSYLVANIA ST, #202
CARMEL, IN 46032
Specialist
11900 N PENNSYLVANIA ST
CARMEL, IN 46032
Family Medicine
11900 N PENNSYLVANIA ST, STE 200
CARMEL, IN 46032
Family Medicine
11900 N PENNSYLVANIA ST, SUITE 200
CARMEL, IN 46032
Family Medicine
11900 N PENNSYLVANIA ST, STE 200
CARMEL, IN 46032
Radiology (Diagnostic Radiology)
11900 N PENNSYLVANIA ST, SUITE 100
CARMEL, IN 46032

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 Klapper's NPI number?

The NPI number for Stephen Klapper is 1316910607. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Stephen Klapper located?

Stephen Klapper practices at 11900 N Pennsylvania St Suite 104, Carmel, IN 46032. The listed phone number is (317) 818-1000.

What is Stephen Klapper's specialty?

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

Is Stephen Klapper enrolled in Medicare?

Yes. Stephen Klapper 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 Klapper accept?

Health plans from CareSource list Stephen Klapper 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.

Is Stephen Klapper affiliated with any hospitals?

According to CMS data, Stephen Klapper is affiliated with Franciscan Health Mooresville and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Stephen Klapper was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.