Individual provider Active NPI

Stephen Walters, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Pleasant Ridge, MI
National Provider Identifier
1013356914
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
4301114849 Issued in MI
Practice address
404 E 10 Mile Rd Ste 100
Pleasant Ridge, MI 48069-1201
Phone
(248) 220-5252
Fax
(248) 220-5261
NPI assigned
Jun 24, 2013
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 288788 NY
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 4301114849 MI Primary

Addresses

Primary practice location

404 E 10 Mile Rd Ste 100
Pleasant Ridge, MI 48069-1201

Mailing address

404 E 10 Mile Rd Ste 100
Pleasant Ridge, MI 48069-1201
Phone (248) 220-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711002030 MI Practitioner - Ophthalmology 7810120524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Glaucoma and Cataract PCGroup PAC ID 7416957352, 2 clinicians

Practice addresses (Care Compare)

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 551-2020

404 E 10 Mile Rd
Suite 100
Pleasant Ridge, MI 48069-1201
Phone (248) 220-5252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288788NYMDOphthalmology Physician
4301114849MIMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Glaucoma & Cataract, P.C. CurrentSince Aug 1, 2018 Accepting new patients
Richard C Mertz Jr MD PC Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Nov 1, 2020 Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

404 E 10 Mile Rd
Ste 100
Pleasant Ridge, MI 48069
Phone (248) 220-5252

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

21711 Greater Mack Ave
St Clr Shores, MI 48080
Phone (586) 774-0393

Interoperability endpoints

  • Direct secure messaging: stephen.walters.1@11987.direct.athenahealth.com
  • Direct secure messaging: swalters1260684@epic00.shdirect.org
  • Direct secure messaging: swaltersmd@miglaucoma.direct.eyemdemr.com

Organizations & group practices 3

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1013356914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 10 MILE RD STE 100",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691201",
            "telephone_number": "248-220-5252",
            "fax_number": "248-220-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 10 MILE RD STE 100",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691201",
            "telephone_number": "248-220-5252",
            "fax_number": "248-220-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "288788",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MI",
            "license": "4301114849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Ridge, MI

Sources for this page

Verify at the official NPI Registry.