2026 NPPES data Ophthalmology Physician NPI 1114913522 MD PHD
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STEPHEN HARTZELL, MD PHD

Ophthalmology Physician in CLYDE, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
72
Medicare Part D claims · 28 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

STEPHEN HARTZELL, MD PHD filed 72 Medicare Part D claims in 2023 as a Ophthalmology Physician in CLYDE, North Carolina, prescribing 71% generic.

72
Part D claims, 2023
71%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

STEPHEN HARTZELL, MD PHD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

72 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

STEPHEN HARTZELL, MD PHD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about STEPHEN HARTZELL, MD PHD?

Quality data not reported

NPI registry status

Active

Issued 09/21/2005

NPI 1114913522

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

72 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in North Carolina

How Ophthalmology Physician compares to other specialties among North Carolina providers

North Carolina providers

Ophthalmology Physician share within North Carolina

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmology Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

STEPHEN HARTZELL, MD PHD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD PHD credentials at 486 HOSPITAL DR, CLYDE, NC, 28721, with a listed phone of (828) 452-5816. NPI 1114913522 was issued on 09/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HARTZELL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 72 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $15K in drug spend, split 29% brand-name and 71% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

486 HOSPITAL DR
CLYDE, NC 28721

Provider Details

NPI 1114913522
Specialty Ophthalmology Physician
Credentials MD PHD
Gender Male
NPI Issued 09/21/2005

Brand vs generic prescribing mix · Above average

STEPHEN HARTZELL, MD PHD — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 72 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

72
Total Claims
$15K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
168
Total Day Supply
4,920
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$15K
Generic Drug Cost
$521

Patient Demographics

Average Patient Age
77.6 years
Avg HCC Risk Score
1.22
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What STEPHEN HARTZELL, MD PHD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
35
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
14
Lumigan
Bimatoprost
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How STEPHEN HARTZELL, MD PHD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

STEPHEN HARTZELL, MD PHD's 72 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as HARTZELL.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEPHEN HARTZELL, MD PHD's specialty?
STEPHEN HARTZELL, MD PHD specializes in Ophthalmology Physician and practices in CLYDE, North Carolina. Credentials: MD PHD.
How much does STEPHEN HARTZELL, MD PHD prescribe under Medicare Part D?
In 2023, STEPHEN HARTZELL, MD PHD wrote 72 Medicare Part D claims totaling $15K in drug costs for 28 beneficiaries.
Where is STEPHEN HARTZELL, MD PHD located?
STEPHEN HARTZELL, MD PHD is located at 486 HOSPITAL DR, CLYDE, NC, 28721. Phone: (828) 452-5816.
What is STEPHEN HARTZELL, MD PHD's NPI number?
STEPHEN HARTZELL, MD PHD's National Provider Identifier (NPI) is 1114913522, issued on 09/21/2005.
Does STEPHEN HARTZELL, MD PHD prescribe more brand-name or generic drugs?
STEPHEN HARTZELL, MD PHD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $15K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does STEPHEN HARTZELL, MD PHD prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN HARTZELL, MD PHD's most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN HARTZELL, MD PHD accept Medicare?
STEPHEN HARTZELL, MD PHD appears in CMS Medicare data with 72 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN HARTZELL, MD PHD's credentials?
STEPHEN HARTZELL, MD PHD's NPI is 1114913522 with credentials MD PHD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology