Physician

Jeffery Nelson Stephens, M.D.

According to 2025 Medicare claims, Jeffery Stephens, M.D. (NPI: 1578535399) practices ophthalmology in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is PROMEDICA CENTRAL PHYSICIANS (NPI: 1043270150; TIN: 341881137) and primary practice location at 43512-1338. Stephens is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Stephens' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 884 traditional Medicare patients, billed 12,439 HCPCS/CPT codes, and received $934,687 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 769 prescription claims across 233 beneficiaries totaling $25,602 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 18 records totaling $851. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $408,405 to $934,687. In contrast, Part D prescription costs have declined steadily, from $51,031 to $25,602. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$467K$935K2015 Medicare payment: $408,405 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $467,625 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $459,981 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $450,404 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $429,437 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $611,483 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $488,302 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $532,464 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $623,827 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $934,687 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158335,232$408,405
20168315,705$467,625
20177334,893$459,981
20187004,628$450,404
20197144,377$429,437
20207084,589$611,483
20217174,424$488,302
20227674,632$532,464
20238477,897$623,827
202488412,439$934,687

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$26K$51K2015 Drug cost: $51,031 (USD; Tot_Drug_Cst)2016 Drug cost: $50,135 (USD; Tot_Drug_Cst)2017 Drug cost: $51,029 (USD; Tot_Drug_Cst)2018 Drug cost: $49,587 (USD; Tot_Drug_Cst)2019 Drug cost: $47,089 (USD; Tot_Drug_Cst)2020 Drug cost: $44,102 (USD; Tot_Drug_Cst)2021 Drug cost: $39,366 (USD; Tot_Drug_Cst)2022 Drug cost: $33,879 (USD; Tot_Drug_Cst)2023 Drug cost: $32,223 (USD; Tot_Drug_Cst)2024 Drug cost: $25,602 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015270892$51,031
2016276854$50,135
2017238766$51,029
2018185738$49,587
2019187659$47,089
2020168612$44,102
2021161532$39,366
2022198601$33,879
2023213657$32,223
2024233769$25,602

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more363765$92
67028Injection of drug into eye207480$88
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more603876$59
92134Imaging of retina8562,147$28
92250Photography of the retina148148$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate1735,510$4,251
Ketorolac TromethamineKetorolac Tromethamine2278,528$3,561
Brimonidine TartrateBrimonidine Tartrate643,309$2,921
Timolol MaleateTimolol Maleate382,587$2,898
LatanoprostLatanoprost994,652$1,130

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.18$851ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jeffery Nelson Stephens, M.D.?

Tedicare shows public-source Medicare data for Jeffery Nelson Stephens, M.D. (NPI 1578535399), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Jeffery Nelson Stephens, M.D. have ACO affiliation data?

Jeffery Nelson Stephens, M.D. is shown with ACO affiliation data for ProMedica Health Network, Inc. (MSSP, ACO ID A3016), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Jeffery Nelson Stephens, M.D.?

Jeffery Nelson Stephens, M.D. is linked to PROMEDICA CENTRAL PHYSICIANS (billing NPI 1043270150) in the available physician profile data.

Does Jeffery Nelson Stephens, M.D. have Open Payments data?

Jeffery Nelson Stephens, M.D. has 18 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.