Stephen J Phipps, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

042-0010054 Issued in VT

Practice address

1290 Hospital Dr
Suite 5
St Johnsbury, VT 05819-9239

Phone

(802) 748-8126

NPI assigned

Sep 19, 2005

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT, NH2 enrollments

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 2

Specialty

Ophthalmology

Education

Creighton University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shippee Family Eye Care PCGroup PAC ID 4183772239, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302
• Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shippee Family Eye Care PC

  dba DBA Optical Expressions

  • Optometrist
  • St Johnsbury, VT
  • NPI 1023407467
  Medicare reassignment NPD
• Littleton Hospital Association

  dba Littleton Regional Healthcare

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Medicare reassignment NPD
• Shippee Family Eye Care PC

  • Ophthalmology Physician
  • Littleton, NH
  • NPI 1114526928
  Medicare reassignment NPD
• Eye Associates of Northern New England

  • Durable Medical Equipment & Medical Supplies
  • St Johnsbury, VT
  • NPI 1366419897
  Authorized official Same address or phone
• Eye Associates of Northern New England, LLP

  • Ophthalmology Physician
  • St Johnsbury, VT
  • NPI 1659347508
  Authorized official Same address or phone
• Littleton Hospital Association

  • Orthopaedic Surgery Physician
  • Franconia, NH
  • NPI 1134497688
  NPD
• Littleton Hospital Association

  dba LRH DME

  • Durable Medical Equipment & Medical Supplies
  • Littleton, NH
  • NPI 1174398846
  NPD
• Littleton Hospital Association

  dba North Country Primary Care RHC

  • Rural Health Clinic/Center
  • Littleton, NH
  • NPI 1811944523
  NPD (past)

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

• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Corner Medical

  • Primary Care Clinic/Center
  • Lyndonville, VT
  • NPI 1659459428

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital, Inc

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1275576704
  Care Compare affiliation
• Littleton Hospital Association

  dba Littleton Regional Healthcare

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1649265497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058199205",
            "telephone_number": "802-748-8126",
            "fax_number": "802-748-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199239",
            "telephone_number": "802-748-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "10966",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "042-0010054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2361",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201296",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Kenworthy DMD PC
• Elaine Paul, M.D.
• Alexandra Perreault, APRN
• Denise Laferriere Perry
• Tamara A Peters, C.M.T
• Jillian Mae Pickens
• Katie Piet, D.D.S.
• Sharon Rachel Pinard-Sisle, RD
• Planned Parenthood of Northern New England
• Plott Balsam Mental Health

• Ophthalmology Physician in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Ophthalmology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.