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DR. STEPHEN C UME MD
NPI 1558312462
Ophthalmology in Duluth, GA

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
3840 PEACHTREE INDUSTRIAL BLVD STE 100, DULUTH, GA 30096(678) 585-1901(678) 691-2138 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 5, 2022, Jul 27, 2021, Jul 24, 2021 (3 updates tracked since 2021).

About Dr. Stephen C Ume Md NPPES

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

DR. STEPHEN C UME MD (NPI 1558312462) is an individual ophthalmology provider in Duluth, Georgia, licensed in Georgia (89092) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1558312462
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN C UMECredential: MD
Location Address3840 PEACHTREE INDUSTRIAL BLVD STE 100Duluth, GA 30096-5032
Mailing Address3840 Peachtree Industrial Blvd Ste 100Duluth, GA 30096-5032 · (678) 585-1901 · Fax (678) 691-2138
Phone(678) 585-1901
Fax(678) 691-2138
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 15, 2006
Last NPPES UpdateApril 5, 20223 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1558312462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in GA · 89092✔ Licensed in FL · ME94281
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 ListedGeneral PracticeTaxonomy 208D00000X · License 89092 (GA)
3840 PEACHTREE INDUSTRIAL BLVD STE 100, Duluth, GA 30096
Open in Google Maps ↗

Secondary Practice Location 1

Location 17205 Bonneval RdJacksonville, FL 32256-7565 · Phone (904) 296-0098 · Fax (904) 861-3899

Other Identifiers 1

Medicaid274701400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Stephen C Ume 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 ID3173539939
PECOS Enrollment IDI20220524001232
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.

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.
77 services32 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.
24 services24 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.
21 services21 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.
12 services12 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).
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 2

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

GWINNETT URGENT EYE CARE CLINIC PC
Clinic/Center (Urgent Care)
3840 PEACHTREE INDUSTRIAL BLVD STE 100
DULUTH, GA 30096
Gwinnett County (678) 585-1901
GWINNETT OPHTHALMOLOGY PC
Ophthalmology
3840 PEACHTREE INDUSTRIAL BLVD STE 100
DULUTH, GA 30096
Gwinnett County (678) 585-1901

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 Ume's NPI number?

The NPI number for Stephen Ume is 1558312462. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Stephen Ume located?

Stephen Ume practices at 3840 Peachtree Industrial Blvd Ste 100, Duluth, GA 30096. The listed phone number is (678) 585-1901.

What is Stephen Ume's specialty?

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

Is Stephen Ume enrolled in Medicare?

Yes. Stephen Ume 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 Ume accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Stephen Ume 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 Ume was last updated on April 5, 2022. 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.