STEPHEN J PHIPPS M.D.
NPI 1649265497
Ophthalmology in St Johnsbury, VT

Q: What is Stephen Phipps's NPI number?

The NPI number for Stephen Phipps is 1649265497. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Stephen Phipps'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 Stephen Phipps was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 19, 2005PECOS EnrolledAccepts Medicare Assignment

1290 HOSPITAL DR, SUITE 5, ST JOHNSBURY, VT 05819(802) 748-8126 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Stephen J Phipps M.d. NPPES

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

STEPHEN J PHIPPS M.D. (NPI 1649265497) is an individual ophthalmology provider in St Johnsbury, Vermont, licensed in Vermont (042-0010054) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Littleton Regional Healthcare, and is a graduate of Creighton University School Of Medicine (1996).

NPPES Registry Identity

NPI1649265497

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameSTEPHEN J PHIPPSCredential: M.D.

Location Address1290 HOSPITAL DR, SUITE 5St Johnsbury, VT 05819-9239

Mailing Address1290 Hospital Dr, Suite 5Saint Johnsbury, VT 05819-9205 · (802) 748-8126 · Fax (802) 748-2208

Phone(802) 748-8126

Sole ProprietorYes

Medical School CMSCreighton University School Of MedicineGraduated 1996

Enumeration DateSeptember 19, 2005

Last NPPES UpdateAugust 8, 2016

✔ NPI 1649265497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in VT · 042-0010054✔ Licensed in NH · 10966

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.

1290 HOSPITAL DR, St Johnsbury, VT 05819

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Other Identifiers 5

Medicare ID-Type UnspecifiedRE5905NH

Medicaid0VN2361VT

Medicare ID-Type UnspecifiedVN2361VT

Medicaid30201296NH

Medicare UPINH22707VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care 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

Stephen J Phipps 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 ID7315938164

PECOS Enrollment IDI20040520000451, I20040609000118

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 Reassignments

Medicare enrollment records show Stephen Phipps reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shippee Family Eye Care PC

0.7 mi

Optometrist

468 HOSPITAL DR
St Johnsbury, VT 05819

Reassigned Medicare billing, Vermont and New Hampshire enrollments
Also billed through NPI 1114526928 (New Hampshire)
11 clinicians in this Medicare group

NPI 1023407467 (802) 748-3536

Littleton Hospital Association

13 mi

Rural Health

580 SAINT JOHNSBURY RD
Littleton, NH 03561

Reassigned Medicare billing, New Hampshire enrollment
219 clinicians in this Medicare group

NPI 1811944523 (603) 444-7070

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 19

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

548 services327 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

392 services391 patients

Release of arm or leg nerve 64708

A release of an arm or leg nerve is a surgical procedure aimed at relieving pressure on the nerve. This pressure can cause pain, numbness, or weakness. During the procedure, the surgeon makes a small incision and gently moves tissues away from the nerve. This can help restore normal function and alleviate discomfort.

308 services182 patients

Release of nerve using operating microscope 64727

This procedure, called a microsurgical nerve release, involves using a special microscope to enhance precision while freeing a trapped nerve. It can help alleviate pain and improve nerve function. It's a safe and effective method often used for conditions like carpal tunnel syndrome.

306 services181 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

302 services181 patients

Measurement of corneal curvature and depth of eye 92136

262 services262 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.

170 services170 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.

150 services149 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

125 services125 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.

86 services60 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.

83 services83 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

64 services49 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).

31 services29 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

23 services23 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

22 services14 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.

22 services22 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and 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.

Littleton Regional Healthcare

Critical Access Hospitals · Littleton, NH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301302

Location600 St Johnsbury RoadLittleton, NH 03561 · Grafton County

Emergency services

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471303

Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05819 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

$127.71 typical visit price

range $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%77 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…

24%25 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%2,683 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

4 suppliers40 claims40 services$52.09 avg. paid by Medicare

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103

Other-Vision, Hearing, and Speech Services · category OC000N

3 suppliers11 claims17 services$21.86 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

4 suppliers20 claims33 services$42.12 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 suppliers30 claims49 services$53.53 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 10

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

EYE ASSOCIATES OF NORTHERN NEW ENGLAND

Durable Medical Equipment & Medical Supplies

1290 HOSPITAL DR, SUITE 5
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-8126

DR. DAVID BRODY M.D.

Internal Medicine

1290 HOSPITAL DR, STE 2
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-2123

BRIAN J MAWHINNEY O.D.

Optometrist

1290 HOSPITAL DR, SUITE 5
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-8126

PAUL M LINDSTROM O.D.

Optometrist

1290 HOSPITAL DR, SUITE 5
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-8126

EYE ASSOCIATES OF NORTHERN NEW ENGLAND, LLP

Ophthalmology

1290 HOSPITAL DR, SUITE 5
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-8126

DR. KENNETH S. DANIELSON M.D.

Surgery

1290 HOSPITAL DR
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-2984

DANIELSON SURGICAL ASSOCIATES

Clinic/Center (Ambulatory Surgical)

1290 HOSPITAL DR
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-2984

TED VJ HOULE M.D.

Ophthalmology

1290 HOSPITAL DR, SUITE 5
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-8126

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 Phipps's NPI number?

The NPI number for Stephen Phipps is 1649265497. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Stephen Phipps located?

Stephen Phipps practices at 1290 Hospital Dr Suite 5, St Johnsbury, VT 05819. The listed phone number is (802) 748-8126.

What is Stephen Phipps's specialty?

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

Is Stephen Phipps enrolled in Medicare?

Yes. Stephen Phipps 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.

Which organizations bill Medicare for Stephen Phipps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Phipps reassigns Medicare benefits to 2 organizations: Shippee Family Eye Care PC (St Johnsbury, VT) and Littleton Hospital Association (Littleton, NH). Each 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 Phipps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Phipps accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Stephen Phipps 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.

Is Stephen Phipps affiliated with any hospitals?

According to CMS data, Stephen Phipps is affiliated with Littleton Regional Healthcare and Northeastern Vermont Regional Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Phipps was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.