STEPHANIE BETH ENGELHARD (MD) – Ophthalmology Physician, NPI 1063903003
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 OPHTHALMOLOGY in AZ
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Provider Addresses for STEPHANIE BETH ENGELHARD (MD)
1590, Las Lunas Street, Bungalow Heaven, Pasadena, Los Angeles County, California, 91106, United States
PASADENA, CA 911061351
Phone: (626) 808-1620
Type: Mailing
Tucson Medical Center, 5301, East Grant Road, Tucson, Pima County, Arizona, 85712, United States
TUCSON, AZ 857122805
Phone: (520) 324-5096
Type: Location
328 COATSLAND DR
JACKSON, TN 383013908
Phone: (731) 427-7799
Fax: (731) 427-1476
Type: Location
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (626) 457-6601
Type: Mailing
1450 SAN PABLO ST FL 4
LOS ANGELES, CA 900335331
Phone: (323) 442-6335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $2,159.
Total Amount is formed as General ($2,159) + Research ($0) + Ownership ($0) = $2,159.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($428).
Total Amount
$2,159
General + Research + Ownership
Payments
32
Total payment records
General Amount
$2,159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $428 |
| Alimera Sciences, Inc. | $391 |
| Alcon Vision LLC | $247 |
| Apellis Pharmaceuticals, Inc. | $222 |
| Carl Zeiss Meditec USA, Inc. | $220 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220509001698 | I | Ophthalmology | CA | TBD |
| I20240712001037 | I | Ophthalmology | TN | TBD |
| I20240715000779 | I | Ophthalmology | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN |
Reviews
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