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Stephen C. Pflugfelder, M.D.

NPI 1851380216ActiveIndividual· Ophthalmology· Houston, TX

Ophthalmology (M.D.) in Houston, Texas, trained at State University of New York - State College Optometry (class of 1981). Their prescriptions cost Medicare Part D more than their services did: $226,602 for 1,374 claims, against $79,550 paid for services in 2024. F. Hoffmann-La Roche Ag was the largest of 9 companies reporting payments in 2025, $72,284 in all, mostly consulting fees.

Overview

NPI1851380216
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedOct 18, 2005
Last updated in NPPESNov 27, 2020
Certified by providerNov 27, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000XL2770TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Ophthalmology (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients425
Services billed855 across 36 procedure codes
Paid by Medicare$79,550

Part D prescriptions in 2024

Prescriptions (claims)1,374 · 2,184 30-day fills
Patients309
Total drug cost$226,602
Generic share61% of claims

Medicare sources and data years

Education and affiliations

Medical schoolState University of New York - State College Optometry
Graduation year1981
Medicare specialtyOphthalmology

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$72,284 · 44 payments from 9 companies
  • 2024$33,713 · 18 payments from 7 companies

Top paying companies in 2025

What the 2025 payments were for

  • Consulting Fee$66,009 · 25 payments
  • Travel and Lodging$5,714 · 7 payments
  • Food and Beverage$561.13 · 12 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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