NPIMap

Individual provider Active NPI

Christopher Stefonowicz, MD

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1003345786
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
71871 Issued in MN
Practice address
7450 France Ave S Ste 100
Edina, MN 55435-4799
Phone
(952) 832-8100
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 94-09283 KS
Ophthalmology Physician 207W00000X 94-09283 KS
Ophthalmology Physician 207W00000X 71871 MN Primary

Addresses

Primary practice location

7450 France Ave S Ste 100
Edina, MN 55435-4799

Mailing address

3901 Rainbow Blvd # Ms 2027
Kansas City, KS 66160-8500
Phone (913) 588-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210729002863 SC Practitioner - Ophthalmology 6709158868 Reassigns benefits to 1 organization
I20221029000104 MN Practitioner - Ophthalmology 6709158868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Paul Eye Clinic PAGroup PAC ID 6709773823, 20 clinicians

Practice addresses (Care Compare)

2080 Woodwinds Dr
Suite 230
Woodbury, MN 55125-2539
Phone (651) 578-6949

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057

Merit-based Incentive Payment System (MIPS)

Final score
85.52 of 100Reported as group
Quality
80.37
Promoting interoperability
96
Improvement activities
40
Cost
74.71

Merit-based Incentive Payment System (MIPS)

Final score
88.92 of 100Reported as group
Quality
89.37
Promoting interoperability
100
Improvement activities
40
Cost
73.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86477SCMDRegistered Nurse
94-09283KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Eye Clinic PA CurrentSince Nov 4, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
St Paul Eye Clinic PA CurrentSince Nov 4, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Internal Medicine CurrentSince Jul 9, 2021 Accepting new patients

Locations

1215 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 454-2526

1675 Beam Ave
Maplewood, MN 55109
Phone (651) 216-9361

1675 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 227-6634

2080 Woodwinds Dr
Ste 110
Woodbury, MN 55125
Phone (651) 738-6500

2080 Woodwinds Dr
Ste 230
Woodbury, MN 55125
Phone (651) 578-6949

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: cstefonowicz@stpauleye.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1003345786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354799",
            "telephone_number": "952-832-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFONOWICZ",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-09283",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "94-09283",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "71871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.