DR. JAMES MICHAEL STEARNS M.D.
NPI 1790780567
Ophthalmology in Henderson, KY

Q: What is James Stearns's NPI number?

The NPI number for James Stearns is 1790780567. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is James Stearns'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 James Stearns was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 16, 2005PECOS Enrolled

110 3RD ST, HENDERSON, KY 42420(270) 826-5100(270) 826-3644 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. James Michael Stearns M.d. NPPES

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

DR. JAMES MICHAEL STEARNS M.D. (NPI 1790780567) is an individual ophthalmology provider in Henderson, Kentucky, licensed in Kentucky (14843) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790780567

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JAMES MICHAEL STEARNSCredential: M.D.

Location Address110 3RD STHenderson, KY 42420-2993

Mailing Address3372 Walter RdRobards, KY 42452-9365 · (270) 826-5100 · Fax (270) 826-3644

Phone(270) 826-5100

Fax(270) 826-3644

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateJune 21, 2010

✔ NPI 1790780567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in KY · 14843✔ Licensed in IN · 01031657

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.

110 3RD ST, Henderson, KY 42420

Open in Google Maps ↗

Other Identifiers 6

Medicaid100014440IN

Medicare UPINC70316

Medicaid64148430KY

Other000000476835Bc/bs Anthem

Medicare ID-Type Unspecified0759402KY · Aea

Medicare ID-Type Unspecified201460DIN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Michael Stearns 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.

Areas of Expertise CMS Part B claims 2

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.

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.

49 services45 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.

48 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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%32 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 18

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

RAVEN WHITNEY RAY APRN

Nurse Practitioner (Family)

110 3RD ST, SUITE 180
HENDERSON, KY 42420

Henderson County (270) 827-3573

JAMES DUNAWAY R.PH.

Pharmacist

110 3RD ST
HENDERSON, KY 42420

Henderson County (270) 826-6565

LINDA K AUSTIN CSA

110 3RD ST, SUITE 130
HENDERSON, KY 42420

Henderson County (812) 471-1591

DR. KELLY WINSTON FIFE M.D.

Pediatrics

110 3RD ST, SUITE 180, IMPERIAL BUILDING
HENDERSON, KY 42420

Henderson County (270) 827-3573

DR. LENITA J REASOR-BRANN D.C.

Chiropractor

110 3RD ST
HENDERSON, KY 42420

Henderson County (270) 827-0202

DR. MICHAEL JERRY TENERY D.M.D.

Dentist (General Practice)

110 3RD ST, SUITE 350
HENDERSON, KY 42420

Henderson County (270) 826-0891

ERIC DOUGLAS ERVIN MD

Pediatrics

110 3RD ST, SUITE 180
HENDERSON, KY 42420

Henderson County (270) 827-3573

VIRGINIA SUE FLOYD RPH

Pharmacist

110 3RD ST
HENDERSON, KY 42420

Henderson County (270) 826-6565

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 James Stearns's NPI number?

The NPI number for James Stearns is 1790780567. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is James Stearns located?

James Stearns practices at 110 3rd St, Henderson, KY 42420. The listed phone number is (270) 826-5100.

What is James Stearns's specialty?

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

Is James Stearns enrolled in Medicare?

Yes. James Stearns is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Stearns was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.