PROVIDER PROFILE · NPI 1851380216

Stephen PflugfelderM.D.

OphthalmologyHouston, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

533

Unique beneficiaries

—

Total services

751

Distinct HCPCS

Medicare payment

$69K

Peer benchmark

Total Medicare services vs. 1,238 Ophthalmology providers in TX — below median (cohort median 1,864).

PRESCRIBING · PART D · 2024

Total Rx claims

1,228

Beneficiaries

—

Total drug cost

$195K

Distinct drugs

Brand share

27.5%

Top prescribed drugs

Doxycycline Hyclate306 claims

Fluorometholone147 claims

Prednisolone Acetate140 claims

Cyclosporine80 claims

Loteprednol Etabonate76 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$34K

Payment records

By payment type

Consulting Fee$29K

Travel and Lodging$4K

Food and Beverage$205

REFERRAL NETWORK

Where Stephen Pflugfelder's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER	50	138
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Houston, TX	34	59
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	17	35
FIELDS, KATHLEEN	16	49
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER	14	20
MORETTO, MATTHEW	13	50
SELASSIE, RAHEL	12	27

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history