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DR. PHILLIP LEE STEPHENS O.D.
NPI 1851476956
Optometrist in New Smyrna Beach, FL

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
524 CANAL ST, NEW SMYRNA BEACH, FL 32168(386) 423-5190(386) 423-1490 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phillip Lee Stephens O.d. NPPES

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

DR. PHILLIP LEE STEPHENS O.D. (NPI 1851476956) is an individual optometrist in New Smyrna Beach, Florida, licensed in Florida (2395) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1989).

NPPES Registry Identity

NPI1851476956
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHILLIP LEE STEPHENSCredential: O.D.
Location Address524 CANAL STNew Smyrna Beach, FL 32168-7012
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(386) 423-5190
Fax(386) 423-1490
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1989
Enumeration DateOctober 26, 2006
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1851476956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · 2395
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
524 CANAL ST, New Smyrna Beach, FL 32168
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Phillip Lee Stephens O.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 ID8123015005
PECOS Enrollment IDI20040504001373
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 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.
118 services118 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.
99 services67 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.
53 services39 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.
25 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32168 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

MADISON NICOLE BALBIRER
Optometrist
524 CANAL ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 423-5190
NICOLA GRANGER O.D.
Optometrist
524 CANAL ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 423-5190
MYEYEDR OPTOMETRY OF FLORIDA, LLC
Optometrist
524 CANAL ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 423-5190

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 Phillip Stephens's NPI number?

The NPI number for Phillip Stephens is 1851476956. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Phillip Stephens located?

Phillip Stephens practices at 524 Canal St, New Smyrna Beach, FL 32168. The listed phone number is (386) 423-5190.

What is Phillip Stephens's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Phillip Stephens enrolled in Medicare?

Yes. Phillip Stephens 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 Phillip Stephens accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 11 other insurers list Phillip Stephens 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 Phillip Stephens was last updated on September 8, 2021. 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.