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DR. PAUL STERNBERG JR. M.D.
NPI 1962418913
Ophthalmology in Nashville, TN

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1215 21ST AVE S, 8032 MCE, NASHVILLE, TN 37232(615) 936-1453 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Sternberg Jr. M.d. NPPES

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

DR. PAUL STERNBERG JR. M.D. (NPI 1962418913) is an individual ophthalmology provider in Nashville, Tennessee, licensed in Tennessee (MD37123) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1979).

NPPES Registry Identity

NPI1962418913
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PAUL STERNBERG JR.Credential: M.D.
Location Address1215 21ST AVE S, 8032 MCENashville, TN 37232-0014
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Phone(615) 936-1453
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1979
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1962418913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TN · MD37123
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.
Also ListedSpecialistTaxonomy 174400000X · License MD37123 (TN)
1215 21ST AVE S, Nashville, TN 37232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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. Paul Sternberg Jr. 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 ID9638178924
PECOS Enrollment IDI20070518000498
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 6

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.
185 services152 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
136 services86 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
126 services88 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
114 services29 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.
80 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

AMANDA B DICKERT I CRNA
Nurse Anesthetist, Certified Registered
1215 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-6336
ALICIA STALLINGS M.D.
Hospitalist
1215 21ST AVE S, SUITE II, 7TH FLOOR
NASHVILLE, TN 37232
Davidson County (615) 936-8590
MARY ALICE PATTON
Speech-Language Pathologist
1215 21ST AVE S, SUITE 6209
NASHVILLE, TN 37232
Davidson County (615) 936-1597
MRS. JENNIFER H PILKINGTON MS, CCC-SLP
Speech-Language Pathologist
1215 21ST AVE S, SUITE 6209
NASHVILLE, TN 37232
Davidson County (615) 936-5212
ALEXANDER E. KOLOMAYA MD
Student in an Organized Health Care Education/Training Program
1215 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 322-5000
DR. RYAN ALLEN KELLN D.O.
Pediatrics
1215 21ST AVE S, MEDICAL CENTER EAST, SUITE 3200
NASHVILLE, TN 37232
Davidson County (615) 936-7846
STEPHANIE MARTIN RD, LDN
Dietitian, Registered
1215 21ST AVE S, 6100 MEDICAL CENTER EAST, NORTH TOWER
NASHVILLE, TN 37232
Davidson County (615) 936-1075
ALLISON LEIGH SCHWALL MD
Hospitalist
1215 21ST AVE S, MCE NORTH TOWER SUITE 6000
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Paul Sternberg's NPI number?

The NPI number for Paul Sternberg is 1962418913. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Paul Sternberg located?

Paul Sternberg practices at 1215 21st Ave S 8032 Mce, Nashville, TN 37232. The listed phone number is (615) 936-1453.

What is Paul Sternberg's specialty?

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

Is Paul Sternberg enrolled in Medicare?

Yes. Paul Sternberg 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 Paul Sternberg accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Paul Sternberg 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 Paul Sternberg affiliated with any hospitals?

According to CMS data, Paul Sternberg is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Sternberg was last updated on March 28, 2022. 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.