Dr. John R. Stump , MD
Ophthalmology • Milford, DE
200 Kona Circle
Milford, DE 199631843
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 7, 2005; this date does not establish years in practice.
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Published CMS data list 4,253 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 92014 — Established patient complete exam of visual system: 1,478 service units.
- 92012 — Established patient problem focused exam of visual system: 1,254 service units.
- 92083 — Exam of visual field with extended testing: 331 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 272 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) — 65 prescription fills, including refills.
- Latanoprost — 64 prescription fills, including refills.
- Timolol Maleate — 51 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 4,121 in 2017 to 4,253 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
200 Kona Circle
Milford, DE 199631843
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $451,598 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
Paid by Medicare
About $316,816 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
30-day fills
588 standardized 30-day fills in 2020
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$21,867 in 2020
The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Stump has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Stump as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Milford and Delaware
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Stump are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Stump are from 2020.
3 active clinicians are listed under Ophthalmology with a practice address in Milford, DE (65 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 4,121 in 2017 and 4,253 in 2019.
- 2017: 4,121
- 2018: 4,134
- 2019: 4,253
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $444,731 in 2017 and $451,598 in 2019.
- 2017: $444,731
- 2018: $448,302
- 2019: $451,598
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Paid by Medicare
Paid by Medicare stayed about the same: $313,230 in 2017 and $316,816 in 2019.
- 2017: $313,230
- 2018: $316,847
- 2019: $316,816
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 80% from 1,361 in 2016 to 272 in 2020.
- 2016: 1,361
- 2017: 1,249
- 2018: 1,228
- 2019: 1,203
- 2020: 272
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30-day fills
30-day fills decreased 75% from 2,393 in 2016 to 588 in 2020.
- 2016: 2,393
- 2017: 2,286
- 2018: 2,370
- 2019: 2,385
- 2020: 588
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Part D drug cost
Part D drug cost decreased 83% from $130,721 in 2016 to $21,867 in 2020.
- 2016: $130,721
- 2017: $132,471
- 2018: $145,051
- 2019: $141,938
- 2020: $21,867
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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92014
Established patient complete exam of visual system
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1,478 | 1,265 | $135.00 | $128.96 |
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92012
Established patient problem focused exam of visual system
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1,254 | 600 | $91.98 | $89.79 |
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92083
Exam of visual field with extended testing
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331 | 263 | $95.00 | $65.38 |
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92134
Imaging of retina
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227 | 176 | $60.00 | $41.74 |
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92020
Exam of the internal drainage system of eye
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222 | 191 | $55.00 | $28.11 |
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92250
Photography of the retina
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150 | 146 | $95.00 | $51.62 |
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92133
Imaging of optic nerve
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107 | 100 | $60.00 | $37.87 |
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92004
New patient complete exam of visual system
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96 | 96 | $157.00 | $154.18 |
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92136
Measurement of corneal curvature and depth of eye
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85 | 69 | $200.00 | $70.67 |
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66984
Removal of cataract with insertion of prosthetic lens
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84 | 68 | $2000.00 | $652.81 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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50 | 42 | $77.00 | $68.33 |
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66761
Creation of eye fluid drainage tracts in iris using a laser, per session
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31 | 18 | $1000.00 | $307.09 |
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92225
Examination of eye by ophthalmoscope with retinal drawing
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22 | 21 | $65.00 | $28.13 |
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92025
Ct scan of cornea
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21 | 17 | $45.00 | $38.56 |
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65210
Removal of foreign body from external eye (conjunctiva or sclera)
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15 | 12 | $155.00 | $57.72 |
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67820
Removal of eyelashes using forceps
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14 | 12 | $110.00 | $33.55 |
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92002
New patient problem focused exam of visual system
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14 | 14 | $91.00 | $85.59 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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14 | 12 | $115.00 | $76.49 |
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92226
Examination of eye by ophthalmoscope with retinal drawing
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13 | 11 | $65.00 | $25.92 |
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92235
Exam of retinal blood vessels using a special camera after injection of a dye
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13 | 13 | $200.00 | $93.39 |
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66821
Removal of recurring cataract in lens capsule using a laser
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12 | 12 | $1000.00 | $340.21 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 65 | 4,644 | $3,468.08 | 35 |
| Latanoprost | Latanoprost | 64 | 3,306 | $1,182.48 | 28 |
| Timolol Maleate | Timolol Maleate | 51 | 4,420 | $1,148.36 | 34 |
| Dorzolamide Hcl | Dorzolamide Hcl | 32 | 2,068 | $782.77 | 19 |
| Alphagan P | Brimonidine Tartrate | 21 | 1,162 | $6,576.06 | — |
| Brimonidine Tartrate | Brimonidine Tartrate | 15 | 875 | $2,515.28 | — |
| Lumigan | Bimatoprost | 13 | 495 | $3,965.06 | — |
| Simbrinza | Brinzolamide/Brimonidine Tart | 11 | 420 | $2,228.70 | — |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20051104000193
DE
9830117282
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 200 KONA CIRCLE, MILFORD, DE 199631843 (Tel: 3024240523)
Registered at 200 KONA CIRCLE, MILFORD, DE 199631843 (Tel: 3024240523)
Recorded as JOHN STUMP, M.D.
Ophthalmology (license number reported to NPPES: DE C1-0003146)
Record officially reactivated for active practice on April 06, 2006
NPPES lists this NPI as deactivated as of March 21, 2006; the reason is not published.
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Milford
Healthcare providers in MilfordMailing Address
200 Kona Circle
Milford, DE 199631843
Phone: 3024240523