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STEPHEN J MERFELD M.D.
NPI 1619957230
Ophthalmology in Oshkosh, WI

Active since January 19, 2006PECOS Enrolled
100/100
CMS Quality Rating
1885 W POINTE DR, OSHKOSH, WI 54902(920) 232-6550(920) 232-6552 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephen J Merfeld M.d. NPPES

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

STEPHEN J MERFELD M.D. (NPI 1619957230) is an individual ophthalmology provider in Oshkosh, Wisconsin, licensed in Wisconsin (34248) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619957230
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEPHEN J MERFELDCredential: M.D.
Location Address1885 W POINTE DROshkosh, WI 54902-4174
Mailing AddressPo Box 2723Oshkosh, WI 54903-2723 · (920) 232-6550 · Fax (920) 232-6552
Phone(920) 232-6550
Fax(920) 232-6552
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 10, 2013
✔ NPI 1619957230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 34248
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.
1885 W POINTE DR, Oshkosh, WI 54902
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Other Identifiers 8

Medicare ID-Type Unspecified26020-0001WI
Medicare PIN180031963
Medicaid31935900WI
Medicare ID-Type Unspecified69015-0001WI
Medicare PIN180030834
Medicare ID-Type Unspecified71490-0001WI
Medicare PIN180036444
Medicare UPINF48737WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen J Merfeld M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Northeast Wisconsin Vision Center, Ltd.
1.7 mi
Ophthalmology
2130 S WASHBURN ST
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1295715415 (920) 232-6550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54902 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
7 suppliers18 claims18 services$57.65 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers11 claims16 services$51.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. PAUL HUBERT PAYANT O.D.
Optometrist
1885 W POINTE DR
OSHKOSH, WI 54902
Winnebago County (920) 232-6550
SEAN P HALPIN O.D.
Optometrist
1885 W POINTE DR
OSHKOSH, WI 54902
Winnebago County (920) 232-6550

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 Merfeld's NPI number?

The NPI number for Stephen Merfeld is 1619957230. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Stephen Merfeld located?

Stephen Merfeld practices at 1885 W Pointe Dr, Oshkosh, WI 54902. The listed phone number is (920) 232-6550.

What is Stephen Merfeld's specialty?

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

Is Stephen Merfeld enrolled in Medicare?

Yes. Stephen Merfeld is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Merfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Merfeld reassigns Medicare benefits to Northeast Wisconsin Vision Center, Ltd. (Oshkosh, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Merfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephen Merfeld was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.