Mark Thomas Stephens, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

Q7114 Issued in TX

Practice address

2380 S Goliad St Ste 100
Rockwall, TX 75032-6504

Phone

(214) 225-2577

Fax

(972) 722-4858

NPI assigned

May 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Ophthalmology

Education

University of Texas Medical Branch at Galveston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mstephens@kwec.intellechartdirect.net

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.

• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1285679803
  Medicare reassignment Care Compare group NPD
• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Rockwall, TX
  • NPI 1467927897
  NPD
• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Greenville, TX
  • NPI 1518849728
  NPD
• Staten Island Physician Practice PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568413169

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1699033373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436602",
            "telephone_number": "214-754-0000",
            "fax_number": "303-800-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 S GOLIAD ST STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326504",
            "telephone_number": "214-225-2577",
            "fax_number": "972-722-4858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Gun Barrel Ln",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751563732",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-417-0981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Gun Barrel Ln",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751563732",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-417-0981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5494 Glen Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75231",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "214-696-1579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11442 N Central Expy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752436602",
            "country_code": "US",
            "telephone_number": "214-754-0000",
            "fax_number": "214-999-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Anne Stehman, LPC-ASSOCIATE
• Brittany Steigner
• Leeza Stein, DDS
• Stephanie Shisler MD PA
• Jeffrey S Stephens, M.D.
• Victoria Stevens
• Lauren Alicia Stevenson, LPC-ASSOCIATE
• Ebony Steward, COTA
• Cheryl Stewart, M.ED. CCC-SLP
• Gregory Lee Stewart, LPC

• Ophthalmology Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.