Individual provider Active NPI

Mary A Stefanyszyn, MD

  • Ophthalmology Physician
  • Wynnewood, PA
National Provider Identifier
1245239318
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD022299E Issued in PA
Practice address
100 E Lancaster Ave
Suite 256 Medical BLDG East
Wynnewood, PA 19096-3450
Phone
(610) 649-1970
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD022299E PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Suite 256 Medical BLDG East
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Suite 256 Medical BLDG East
Wynnewood, PA 19096-3450
Phone (610) 649-1970

Other identifiers 1

IdentifierTypeStateIssuer
0885754MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101130000258 PA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 5991991127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Harvard Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annesley Flanagan Fischer Stefanyszyn and AssociatesGroup PAC ID 3476452848, 5 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 54
Wynnewood, PA 19096-3438
Phone (610) 649-1970

840 Walnut St
Philadelphia, PA 19107-5109
Phone (610) 649-1970

Merit-based Incentive Payment System (MIPS)

Final score
95.89 of 100Reported as group
Quality
95.81
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Annesley Flanagan Fischer Stefanyszyn and Associates Ophthalmology CurrentSince Sep 30, 1982 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2001 Accepting new patients
Edmonds & Associates LLC Past Accepting new patients

Locations

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

170 S Independence Mall W
Ste L60
Philadelphia, PA 19106

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

100 E Lancaster Ave
Ste 54
Wynnewood, PA 19096
Phone (610) 645-3337

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

100 E Lancaster Ave
Ste 256
Wynnewood, PA 19096
Phone (484) 572-6300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDBFBA
  • Direct secure messaging: mary.stefanyszyn@afsa.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1245239318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 256 MEDICAL BLDG EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-649-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 256 MEDICAL BLDG EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-649-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANYSZYN",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD022299E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0885754",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.