DR. STEPHEN PATRICK VERB M.D.
NPI 1528266129
Ophthalmology in Madison Heights, MI

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
78.03/100
CMS Quality Rating
301 W 13 MILE RD, MADISON HEIGHTS, MI 48071(248) 268-1079 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Feb 26, 2020 (2 updates tracked since 2020).

About Dr. Stephen Patrick Verb M.d. NPPES

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

DR. STEPHEN PATRICK VERB M.D. (NPI 1528266129) is an individual ophthalmology provider in Madison Heights, Michigan, licensed in Michigan (4301084529) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528266129
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN PATRICK VERBCredential: M.D.
Location Address301 W 13 MILE RDMadison Heights, MI 48071-1805
Mailing Address301 W 13 Mile RdMadison Heights, MI 48071-1805 · (248) 268-1079
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 5, 2007
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
NPI 1528266129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301084529
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.
301 W 13 MILE RD, Madison Heights, MI 48071

Secondary Practice Locations 3

Location 129201 Telegraph Rd Ste 101Southfield, MI 48034-7630 · Phone (248) 350-1130
Location 224241 Michigan AveDearborn, MI 48124-1801 · Phone (313) 561-7255 · Fax (313) 561-6137
Location 333400 6 Mile RdLivonia, MI 48152-3143 · Phone (734) 421-2020 · Fax (734) 421-2290

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. Stephen Patrick Verb M.d. 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 ID5395800940
PECOS Enrollment IDI20090213000217
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 14

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.

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.
446 services362 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
375 services346 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
319 services306 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
241 services238 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.
154 services145 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.
81 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48071 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

78.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.47
Promoting Interoperability99
Improvement Activities40
Cost30.12

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%65 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%621 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,754 patients
Patients screened: 100% · 1,754 patients
99%241 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%929 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,562 patients
Patients totalRate: 0% · 1,562 patients
0%1,562 patients5/55-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 2

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

Ophthalmology (Cornea and External Diseases Specialist)
301 W 13 MILE RD
MADISON HEIGHTS, MI 48071
Ophthalmology
301 W 13 MILE RD
MADISON HEIGHTS, MI 48071

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 Verb's NPI number?

The NPI number for Stephen Verb is 1528266129. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Stephen Verb located?

Stephen Verb practices at 301 W 13 Mile Rd, Madison Heights, MI 48071. The listed phone number is (248) 268-1079.

What is Stephen Verb's specialty?

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

Is Stephen Verb enrolled in Medicare?

Yes. Stephen Verb 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 Verb accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Stephen Verb 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 Stephen Verb was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.