DR. ALAN L STERN M.D.
NPI 1740277714
Ophthalmology in New Britain, CT
NPI Status: Active since October 04, 2005
Contact Information
1 LAKE ST
GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT
ZIP 06052
Phone: (860) 826-4460
Fax: (860) 826-4436
- Individual
- Male
- Years of Experience 53
- Ophthalmology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About ALAN STERN
This page provides the complete NPI Profile along with additional information for Alan Stern, a provider established in New Britain, Connecticut with a medical specialization in Ophthalmology and more than 53 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 1973. The healthcare provider is registered in the NPI registry with number 1740277714 assigned on October 2005. The practitioner's primary taxonomy code is 207W00000X with license number 020552 (CT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1740277714
- Provider Name
- DR. ALAN L STERN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052
- Location Phone
- (860) 826-4460
- Location Fax
- (860) 826-4436
- Mailing Address
- 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051
- Mailing Phone
- (860) 826-4460
- Mailing Fax
- (860) 826-4436
- Medical School Name
- JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
- Graduation Year
- 1973
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2005
- Last Update Date
- 07-09-2007
- Code Navigator
Ophthalmologists like Alan Stern specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 020552
- License State
- CT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010020552CT00 | OTHER (01) | CT | BCBS & BCFP NEW BRITAIN |
| 442183036 | OTHER (01) | CT | RAIL ROAD MEDICARE |
| 010020552CT02 | OTHER (01) | CT | BCBS & BCFP SOUTHINGTON |
| 138006 | OTHER (01) | CT | WELLCARE MEDICARE |
| D02661 | MEDICARE UPIN (02) | ||
| CT0552 | OTHER (01) | CT | EYE MED VISION CARE |
| 7936001 | OTHER (01) | CT | CONNECTICARE |
| 1255448155 | OTHER (01) | CT | GHMC GROUP NPI ID |
| C01373 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | GHMC GROUP MEDICARE ID |
| 004214433 | MEDICAID (05) | CT | |
| 910435 | OTHER (01) | CT | BLOCK VISION |
| 180000227 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | |
| 001205525 | MEDICAID (05) | CT |
Medicare Participation & PECOS Enrollment Status
Alan Stern is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Alan Stern is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8527155662
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100910000757
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Other-Vision, Hearing, and Speech Services (OC000N)
Frames, purchases (HCPCS:V2020)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cataract surgery
Ct scan of cornea
Established patient complete exam of visual system
Established patient problem focused exam of visual system
Exam of visual field with extended testing
Imaging of optic nerve
Imaging of retina
Measurement of corneal curvature and depth of eye
New patient complete exam of visual system
Photography of the retina
Removal of cataract with insertion of prosthetic lens
Removal of recurring cataract in lens capsule using a laser
Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.
This service was performed for 115 patientsA CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
This service was performed 31 times for 31 patientsAn established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
This service was performed 427 times for 412 patientsThis is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
This service was performed 376 times for 213 patientsAn extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
This service was performed 18 times for 17 patientsImaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
This service was performed 30 times for 28 patientsImaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
This service was performed 36 times for 33 patientsThis procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
This service was performed 44 times for 35 patientsA new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
This service was performed 40 times for 40 patientsPhotography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
This service was performed 15 times for 14 patientsThis is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
This service was performed 46 times for 35 patientsThis procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
This service was performed 14 times for 13 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.71 for a new patient copayment and $18.88 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06052 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.84
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 96% | 1218 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Medication Reconciliation | 92% | 290 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Patient-Specific Education | 12% | 2488 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 13% | 2488 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 2% | 2488 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 4 | 0 | 2 | 7 | 7 | 7 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 4 | 7 | 14 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 4 + 7 + 1 + 4 + 7 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1740277714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437152360 | DR. CORLIS L. ARCHER-GOODE M.D. Individual | Urology | 1 LAKE ST BLDG B2ND NEW BRITAIN, CT 06052 (860) 826-4453 |
| 1144222415 | DR. EDWARD P FITZPATRICK M.D. Individual | Ophthalmology | 1 LAKE ST NEW BRITAIN, CT 06052 (860) 826-4460 |
| 1558369561 | DR. JARED M INSEL M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1 LAKE ST NEW BRITAIN, CT 06052 (860) 223-0220 |
| 1932107851 | DR. KEITH A KAPLAN M.D. Individual | Urology | 1 LAKE ST NEW BRITAIN, CT 06052 (860) 826-4453 |
| 1407854276 | DR. ALAN M KUDLER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 223-0220 |
| 1174523583 | DR. CHRISTOPHER NORWOOD M.D. Individual | Dermatology | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 348-4242 |
| 1356341648 | DR. ROBERT NAPOLETANO M.D. Individual | Surgery | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 826-4457 |
| 1891797775 | DR. JAN R PARIS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 223-0220 |
| 1720080476 | DR. MARK PENNINGTON M.D. Individual | Dermatology | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 348-4242 |
| 1104812973 | DR. MARTIN C SEREMET M.D. Individual | Ophthalmology | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 826-4460 |
| 1447247614 | DR. MORGAN S WERNER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 223-0220 |
| 1669469839 | DR. ROBERT AJ AVE'LALLEMANT M.D. Individual | Urology | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 826-4453 |
| 1811972755 | DR. MICHAEL G POSNER M.D. Individual | Surgery | 1 LAKE ST GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06052 (860) 826-4457 |
| 1275564205 | DR. PAUL J CEPLENSKI M.D. Individual | Urology | 1 LAKE ST NEW BRITAIN, CT 06052 (860) 826-4453 |
| 1225040884 | DR. STEPHEN JOHN BOSCO DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 1 LAKE ST SUITE 101 NEW BRITAIN, CT 06052 (860) 223-8107 |
| 1316057870 | GREGORY KUBRYNSKI PT Individual | Physical Therapist | 1 LAKE ST NEW BRITAIN, CT 06052 (860) 348-4850 |
| 1316036940 | KERYN J RAUSCH APRN Individual | Nurse Practitioner | 1 LAKE ST BLDG. B NEW BRITAIN, CT 06052 (860) 826-4453 |
| 1053494385 | ROBERT I WASSERMAN RPT Individual | Physical Therapist | 1 LAKE ST NEW BRITAIN, CT 06052 (860) 348-4850 |
| 1689727109 | DR. WALTER FRED THAL D.D.S. Individual | Dentist (Pediatric Dentistry) | 1 LAKE ST BUILDING B NEW BRITAIN, CT 06052 (860) 224-2419 |
| 1922151463 | DR. EDUARDO ROSTENBERG D.D.S Individual | Dentist (Pediatric Dentistry) | 1 LAKE ST BUILDING B NEW BRITAIN, CT 06052 (860) 224-2410 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740277714, enumerated in the NPI registry as an "individual" on October 04, 2005
The provider is located at 1 Lake St Grove Hill Medical Center New Britain, Ct 06052 and the phone number is (860) 826-4460
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider has more than 53 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 1973.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $138.84 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $75.55 and an average copayment of 18.88. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Cataract surgery, Ct scan of cornea, Established patient complete exam of visual system, Established patient problem focused exam of visual system, Exam of visual field with extended testing, Imaging of optic nerve, Imaging of retina, Measurement of corneal curvature and depth of eye, New patient complete exam of visual system, Photography of the retina, Removal of cataract with insertion of prosthetic lens and Removal of recurring cataract in lens capsule using a laser.
This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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