DR. CHARLTON STEVENS (MD) – Ophthalmology Physician, NPI 1124487863

DR. CHARLTON STEVENS (MD) is a healthcare provider. based in San antonio, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 0101263231 (VA). The NPI Number for DR. CHARLTON STEVENS (MD) is 1124487863

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLTON STEVENS (MD)
NPI
1124487863
Phone
(210) 292-5077
Address
3551 ROGER BROOKE DR
Enumeration Date
22 February 2016
Last Update Date
20 August 2021

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
7756741100
Graduation Year
2016 (10 years ago)
PAC ID
7416345665
Group Practice PAC ID
9830089739
Professional Enrollment ID
I20250218000173
Address ID
NV894311071SP2285XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for DR. CHARLTON STEVENS (MD)

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    SAN ANTONIO, TX 782344504

    Phone: (210) 292-5077

    Type: Mailing

  • 673 MDG

    5955 ZEAMER AVE

    JBER, AK 99506

    Phone: (907) 580-1162

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,323.

Total Amount is formed as General ($1,323) + Research ($0) + Ownership ($0) = $1,323.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alcon Vision LLC ($1,104).

Total Amount

$1,323

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211021000494IOphthalmologyTXTBD
I20250218000173IOphthalmologyNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78234)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830089739View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P T O M E T R YNV
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YNV
O P T O M E T R YNV

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHARLTON STEVENS (MD)'s NPI?
Yes. DR. CHARLTON STEVENS (MD) is listed with NPI 1124487863 in the public NPI dataset.
Does the file indicate DR. CHARLTON STEVENS (MD) is practicing under active NPI?
Directory data currently reports DR. CHARLTON STEVENS (MD) as active.
What is DR. CHARLTON STEVENS (MD)'s specialty?
The listing groups DR. CHARLTON STEVENS (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CHARLTON STEVENS (MD)?
DR. CHARLTON STEVENS (MD)'s geographic hint is San Antonio, Texas in our summary view.
Is the information about DR. CHARLTON STEVENS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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