Individual provider Active NPI

Augustus Graham Stern, M.D.

  • Ophthalmology Physician
  • Hagerstown, MD
National Provider Identifier
1245405240
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D74254 Issued in MD
Practice address
220 Champion Dr
Suite 100
Hagerstown, MD 21740-6558
Phone
(301) 791-0888
Fax
(301) 791-3611
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200223 LA
Ophthalmology Physician 207W00000X N4128 TX
Ophthalmology Physician 207W00000X D74254 MD Primary

Addresses

Primary practice location

220 Champion Dr
Suite 100
Hagerstown, MD 21740-6558

Mailing address

220 Champion Dr
Ste 100
Hagerstown, MD 21740-6665
Phone (301) 791-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20121018000145 MD Practitioner - OphthalmologyPractitioner - Internal Medicine 4183790124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Eye Care and Laser Center LLCGroup PAC ID 2769460971, 79 clinicians

Practice addresses (Care Compare)

2002 Medical Pkwy
Annapolis, MD 21401-7901

220 Champion Dr
Suite 100
Hagerstown, MD 21740-6665
Phone (301) 791-0888

37767 Market Dr
Unit 103
Charlotte Hall, MD 20622-3175
Phone (410) 571-8733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4128TXMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Eye Care & Laser Center LLC Ophthalmology CurrentSince Mar 10, 2020 Accepting new patients
Chesapeake Eye Care and Laser Center LLC Ophthalmology CurrentSince Mar 10, 2020 Accepting new patients
Bergman Eye Surgery Center, LLC Current Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Anesthesia Company, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Baltimore Eye Surgical Center,LLC PastSince Feb 14, 2020 Accepting new patients

Locations

2002 Medical Pkwy
Ste 320
Annapolis, MD 21401

37767 Market Dr
Unit 103
Charlotte Hall, MD 20622
Phone (301) 895-2020

112 Thomas Johnson Dr
Ste 130
Frederick, MD 21702
Phone (301) 668-3004

195 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 695-6900

220 Champion Dr
Hagerstown, MD 21740
Phone (310) 791-0888

220 Champion Dr
Ste 101
Hagerstown, MD 21740
Phone 3017910888303

220 Champion Dr
Ste 100
Hagerstown, MD 21740
Phone 3017910888303

200 Washington Heights Med Ctr
Westminster, MD 21157
Phone (410) 377-7611

Interoperability endpoints

  • Direct secure messaging: astern@vip.emadirect.md

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1245405240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR",
            "address_2": "STE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406665",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406558",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "AUGUSTUS",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "200223",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N4128",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D74254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.