DR. JAMES ANTHONY STEFATER III MD, PHD
NPI 1427491000
Ophthalmology in East Weymouth, MA

Q: What is James Stefater's NPI number?

The NPI number for James Stefater is 1427491000. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Q: What is James Stefater'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 James Stefater was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 12, 2013PECOS EnrolledAccepts Medicare Assignment

97 LIBBEY INDUSTRIAL PKWY STE 100, EAST WEYMOUTH, MA 02189(781) 331-3300(781) 337-8356 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 20, 2021, May 8, 2020, Apr 20, 2020 and 3 more (6 updates tracked since 2017).

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About Dr. James Anthony Stefater Iii Md, Phd NPPES

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

DR. JAMES ANTHONY STEFATER III MD, PHD (NPI 1427491000) is an individual ophthalmology provider in East Weymouth, Massachusetts, licensed in Massachusetts (270690) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Massachusetts Eye And Ear Infirmary -, and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1427491000

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JAMES ANTHONY STEFATER IIICredential: MD, PHD

Location Address97 LIBBEY INDUSTRIAL PKWY STE 100East Weymouth, MA 02189-3110

Mailing Address97 Libbey Industrial Pkwy Ste 100East Weymouth, MA 02189-3110 · (781) 331-3300 · Fax (781) 337-8356

Phone(781) 331-3300

Fax(781) 337-8356

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013

Enumeration DateApril 12, 2013

Last NPPES UpdateDecember 20, 20216 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1427491000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MA · 270690

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 270690 (MA)

97 LIBBEY INDUSTRIAL PKWY STE 100, East Weymouth, MA 02189

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Other Identifiers 2

Medicaid110109978AMA

OtherS400568983MA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Anthony Stefater Iii Md, Phd 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 ID42452930

PECOS Enrollment IDI20170804001016

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 James Stefater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmic Consultants Of Boston, Inc.

13 mi

Ophthalmology

50 STANIFORD ST, SUITE 600
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
69 clinicians in this Medicare group

NPI 1932146594 (617) 367-4800

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 17

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.

11,880 services36 patients

Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg Q5124

Ranibizumab-nuna (Byooviz) is a biosimilar injection given to treat certain eye conditions, like age-related macular degeneration. It works by slowing the disease's progress and maintaining your current level of vision. The dosage is 0.1 mg.

3,540 services128 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.

2,356 services944 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.

1,406 services344 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.

1,350 services164 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.

928 services725 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

294 services206 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.

47 services21 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.

42 services42 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.

39 services34 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

30 services28 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

21 services19 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

20 services20 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.

18 services17 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.

15 services14 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

12 services12 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220075

Location243 Charles StreetBoston, MA 02114 · Suffolk County

Emergency services

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02189 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

Other Providers at the Same Location NPPES 13

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

DR. VEENA THOMAS MATHEW MD, MPH

Ophthalmology