DR. STEPHEN J BOGAN M.D.
NPI 1942286018
Ophthalmology in Shelby, NC

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1170 WYKE RD., SHELBY, NC 28150(704) 482-6767(704) 484-2507 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Stephen J Bogan M.d. NPPES

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

DR. STEPHEN J BOGAN M.D. (NPI 1942286018) is an individual ophthalmology provider in Shelby, North Carolina, licensed in North Carolina (36496) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1990).

NPPES Registry Identity

NPI1942286018
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN J BOGANCredential: M.D.
Location Address1170 WYKE RD.Shelby, NC 28150-3406
Mailing Address1170 Wyke RdShelby, NC 28150-4259 · (704) 482-6767 · Fax (704) 600-6232
Fax(704) 484-2507
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1990
Enumeration DateDecember 20, 2005
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
NPI 1942286018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 36496 Licensed in SC · 16420
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.
1170 WYKE RD., Shelby, NC 28150

Other Identifiers 15

Other16428SC · Bcbs
Other16428Blue Cross Blue Shield
Medicaid8916428NC
OtherD448817495Mc South Carolina
MedicaidN36496SC
Other0860143United Health Care
Other16428NC · Bcbs
Other561705541Cms 1500
Other561705541NC · Workmans Comp
OtherD44881First Health
Other561705441Aetna
OtherS341421Healthsource Sc Inc
Other104386Wellness Plan
Other2109355Mamsi Insurance
Other561705541SC · Workmans Comp

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. Stephen J Bogan 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 ID4688666886
PECOS Enrollment IDI20100610000773, I20111228000119
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 15

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 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.
502 services374 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.
231 services223 patients
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.
153 services152 patients
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.
126 services79 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).
102 services102 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.
95 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

Other Providers at the Same Location NPPES

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

Ophthalmology
1170 WYKE RD.
SHELBY, NC 28150

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 Bogan's NPI number?

The NPI number for Stephen Bogan is 1942286018. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Stephen Bogan located?

Stephen Bogan practices at 1170 Wyke Rd., Shelby, NC 28150. The listed phone number is (704) 482-6767.

What is Stephen Bogan's specialty?

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

Is Stephen Bogan enrolled in Medicare?

Yes. Stephen Bogan 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 Stephen Bogan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Stephen Bogan 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 Stephen Bogan was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.