2026 NPPES data Ophthalmology Physician NPI 1649265497 M.D.
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STEPHEN PHIPPS, M.D.

Ophthalmology Physician in ST JOHNSBURY, Vermont. 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
561
Medicare Part D claims · 143 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: STEPHEN PHIPPS, M.D. is a Ophthalmology Physician ([object Object]) practicing in ST JOHNSBURY, Vermont with a Medicare Part D prescribing footprint of 561 claims across 143 beneficiaries — 32% brand-name prescribing .

What stands out: STEPHEN PHIPPS, M.D. filed 561 Medicare Part D claims in 2023 across ST JOHNSBURY, Vermont. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

STEPHEN PHIPPS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

STEPHEN PHIPPS, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/19/2005

NPI 1649265497

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

561 60% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Vermont

How Ophthalmology Physician compares to other specialties among Vermont providers

Vermont providers

Ophthalmology Physician share within Vermont

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

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 PHIPPS, M.D. is a Ophthalmology Physician provider practicing in ST JOHNSBURY, Vermont, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1649265497. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

STEPHEN PHIPPS, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 1290 HOSPITAL DR, ST JOHNSBURY, VT, 05819, with a listed phone of (802) 748-8126. NPI 1649265497 was issued on 09/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PHIPPS 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 561 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $47K in drug spend, split 32% brand-name and 68% 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

1290 HOSPITAL DR
ST JOHNSBURY, VT 05819

Provider Details

NPI 1649265497
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 09/19/2005

Hospital and facility affiliations

Facilities where STEPHEN PHIPPS, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SHIPPEE FAMILY EYE CARE PC
SAINT JOHNSBURY, VT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

STEPHEN PHIPPS, M.D. — brand share 32.0%
Specialty average (est.)

32% brand-name claims vs 68% generic, on 561 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.

561
Total Claims
$47K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,163
Total Day Supply
34,138
Brand vs Generic
32% brand / 68% generic
Brand Drug Cost
$34K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
78.0 years
Avg HCC Risk Score
0.87
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
174
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
129
Brimonidine Tartrate
69
Timolol Maleate
60
Prednisolone Acetate
29
Lumigan
Bimatoprost
15
Combigan
Brimonidine Tartrate/Timolol
13
Travatan Z
Travoprost
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 PHIPPS, M.D. 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 PHIPPS, M.D.'s 561 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Vermont

Other clinicians with the same primary specialty enrolled in Vermont, drawn from the same CMS NPPES roster as PHIPPS.

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

Frequently Asked Questions

What is STEPHEN PHIPPS, M.D.'s specialty?
STEPHEN PHIPPS, M.D. specializes in Ophthalmology Physician and practices in ST JOHNSBURY, Vermont. Credentials: M.D..
How much does STEPHEN PHIPPS, M.D. prescribe under Medicare Part D?
In 2023, STEPHEN PHIPPS, M.D. wrote 561 Medicare Part D claims totaling $47K in drug costs for 143 beneficiaries.
Where is STEPHEN PHIPPS, M.D. located?
STEPHEN PHIPPS, M.D. is located at 1290 HOSPITAL DR, ST JOHNSBURY, VT, 05819. Phone: (802) 748-8126.
What is STEPHEN PHIPPS, M.D.'s NPI number?
STEPHEN PHIPPS, M.D.'s National Provider Identifier (NPI) is 1649265497, issued on 09/19/2005.
Does STEPHEN PHIPPS, M.D. prescribe more brand-name or generic drugs?
STEPHEN PHIPPS, M.D.'s prescribing is 32% brand-name and 68% generic drugs by claim count, with $34K 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 PHIPPS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN PHIPPS, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN PHIPPS, M.D. accept Medicare?
STEPHEN PHIPPS, M.D. appears in CMS Medicare data with 561 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN PHIPPS, M.D.'s credentials?
STEPHEN PHIPPS, M.D.'s NPI is 1649265497 with credentials M.D.. 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