DR. DEBORAH R DISTEFANO MD
NPI 1932172558
Ophthalmology in Chattanooga, TN

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1815 GUNBARREL RD, CHATTANOOGA, TN 37421(423) 648-3937(423) 648-2043 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Deborah R Distefano Md NPPES

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

DR. DEBORAH R DISTEFANO MD (NPI 1932172558) is an individual ophthalmology provider in Chattanooga, Tennessee, licensed in Tennessee (14067) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1976).

NPPES Registry Identity

NPI1932172558
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. DEBORAH R DISTEFANOCredential: MD
Location Address1815 GUNBARREL RDChattanooga, TN 37421-3130
Mailing Address1815 Gunbarrel RdChattanooga, TN 37421-3130 · (423) 648-3937 · Fax (423) 648-2043
Fax(423) 648-2043
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1976
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 28, 2011
NPI 1932172558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · 14067
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.
1815 GUNBARREL RD, Chattanooga, TN 37421

Other Identifiers 3

Other0020153TN · Blue Cross Blue Shield
Medicare ID-Type Unspecified3194504TN · Medicare Provider #
Medicare UPINB04605TN

Accepted 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. Deborah R Distefano 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 ID6305736018
PECOS Enrollment IDI20100415000197
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 14

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
415 services190 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.
411 services199 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
202 services104 patients
Fitting of contact lens for treatment of eye surface disease 92071
Fitting of contact lenses for eye surface disease involves a specialist assessing your eye condition and prescribing special lenses. These lenses help protect the eye surface, promote healing, and improve vision. It's a safe, non-invasive treatment.
167 services67 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.
159 services157 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
109 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Ophthalmologic Surgery)
1815 GUNBARREL RD
CHATTANOOGA, TN 37421
Ophthalmology
1815 GUNBARREL RD
CHATTANOOGA, TN 37421
Clinic/Center
1815 GUNBARREL RD
CHATTANOOGA, TN 37421
Ophthalmology
1815 GUNBARREL RD
CHATTANOOGA, TN 37421
Eyewear Supplier
1815 GUNBARREL RD
CHATTANOOGA, TN 37421

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 Deborah Distefano's NPI number?

The NPI number for Deborah Distefano is 1932172558. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Deborah Distefano located?

Deborah Distefano practices at 1815 Gunbarrel Rd, Chattanooga, TN 37421. The listed phone number is (423) 648-3937.

What is Deborah Distefano's specialty?

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

Is Deborah Distefano enrolled in Medicare?

Yes. Deborah Distefano 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 Deborah Distefano accept?

Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of Tennessee list Deborah Distefano 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 Deborah Distefano was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.