DR. KIMBERLY E STEPIEN MD
NPI 1497709174
Ophthalmology in Madison, WI

Q: What is Kimberly Stepien's NPI number?

The NPI number for Kimberly Stepien is 1497709174. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Kimberly Stepien'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 Kimberly Stepien was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 19, 2006PECOS EnrolledAccepts Medicare Assignment

2880 UNIVERSITY AVE, MADISON, WI 53705(608) 263-7171 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2023, Feb 1, 2021, Nov 8, 2016 (3 updates tracked since 2016).

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About Dr. Kimberly E Stepien Md NPPES

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

DR. KIMBERLY E STEPIEN MD (NPI 1497709174) is an individual ophthalmology provider in Madison, Wisconsin, licensed in Wisconsin (50403) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1497709174

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. KIMBERLY E STEPIENCredential: MD

Location Address2880 UNIVERSITY AVEMadison, WI 53705-3644

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 826-9274 · Fax (608) 833-0999

Phone(608) 263-7171

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2002

Enumeration DateMay 19, 2006

Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1497709174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WI · 50403

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.

2880 UNIVERSITY AVE, Madison, WI 53705

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Secondary Practice Location 1

Location 15249 E Terrace DrMadison, WI 53718-8339 · Phone (608) 265-1270

Other Identifiers 2

Medicaid34789300WI

Medicaid1497709174WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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. Kimberly E Stepien 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 ID6406853902

PECOS Enrollment IDI20071110000145

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 5

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.

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.

885 services301 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.

468 services116 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.

336 services149 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.

193 services170 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

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