DR. KARL GENE STONECIPHER MD
NPI 1427172246
Ophthalmology in Greensboro, NC

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
85.75/100
CMS Quality Rating
1002 N CHURCH ST STE 103, GREENSBORO, NC 27401(336) 854-4441(336) 854-8547 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Karl Gene Stonecipher Md NPPES

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

DR. KARL GENE STONECIPHER MD (NPI 1427172246) is an individual ophthalmology provider in Greensboro, North Carolina, licensed in North Carolina (34914) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1986).

NPPES Registry Identity

NPI1427172246
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KARL GENE STONECIPHERCredential: MD
Location Address1002 N CHURCH ST STE 103Greensboro, NC 27401-1447
Mailing Address1002 N Church St Ste 102Greensboro, NC 27401-1447 · (336) 854-4441 · Fax (336) 854-8547
Fax(336) 854-8547
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1986
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 16, 2019
NPI 1427172246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 34914
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.
1002 N CHURCH ST STE 103, Greensboro, NC 27401

Other Identifiers 1

Medicaid898017ANC

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. Karl Gene Stonecipher 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 ID8820184534
PECOS Enrollment IDI20071010000791
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 10

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.
154 services65 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.
106 services57 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.
75 services60 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
67 services44 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.
38 services38 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.
33 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

85.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost52.52

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 Karl Stonecipher's NPI number?

The NPI number for Karl Stonecipher is 1427172246. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Karl Stonecipher located?

Karl Stonecipher practices at 1002 N Church St Ste 103, Greensboro, NC 27401. The listed phone number is (336) 854-4441.

What is Karl Stonecipher's specialty?

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

Is Karl Stonecipher enrolled in Medicare?

Yes. Karl Stonecipher 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 Karl Stonecipher accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Karl Stonecipher 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 Karl Stonecipher was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.