DR. STUART PAINE MICHELSON (MD) – Emergency Medicine Physician, NPI 1003813882

DR. STUART PAINE MICHELSON (MD) is a healthcare provider. based in South lake tahoe, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 7741 (NV). The NPI Number for DR. STUART PAINE MICHELSON (MD) is 1003813882

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. STUART PAINE MICHELSON (MD)
NPI
1003813882
Phone
(530) 543-5659
Address
1111 EMERALD BAY RD
Enumeration Date
7 July 2005
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7755898900
Graduation Year
1992 (34 years ago)
PAC ID
2163323304
Group Practice PAC ID
5395127682
Professional Enrollment ID
I20070606000394
Address ID
NV894499816ST155XX50XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

520 EMERGENCY MEDICINE in NV

Provider Addresses for DR. STUART PAINE MICHELSON (MD)

  • Emerald Bay Road, South Lake Tahoe, California, 96158, United States

    SOUTH LAKE TAHOE, CA 961506207

    Phone: (530) 543-5659

    Fax: (530) 541-8723

    Type: Mailing

  • 155 HWY 50

    STATELINE, NV 89449

    Phone: (775) 589-8900

    Fax: (775) 588-7110

    Type: Location

  • 2170 South Ave

    South Lake Tahoe, CA 961507026

    Phone: (530) 541-3420

    Type: Location

  • 1107 US Highway 395 N

    Gardnerville, NV 894105304

    Phone: (775) 782-1500

    Type: Location

  • 1501-A Kirkwood Meadows Dr

    Kirkwood, CA 95646

    Phone: (209) 258-7236

    Type: Location

  • 3860 Saddle Rd

    South Lake Tahoe, CA 961508673

    Phone: (530) 543-5575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-06-06

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
I20040203000495IEmergency MedicineCATBD
I20070606000394IEmergency MedicineNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9891$0
99203New patient office or other outpatient visit, 30-44 minutes7070$0
71046X-ray of chest, 2 views4443$0
99214Established patient office or other outpatient visit, 30-39 minutes3330$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3231$0
View full utilization report →

Insurance plans in this area (ZIP 96150)

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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: 5395127682View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Critical Care (Intensivists), Emergency MedicineNV
Family PracticeCA
Family PracticeCA
P S Y C H I A T R YCA
Critical Care (Intensivists), Emergency Medicine, Emergency MedicineCA
O T O L A R Y N G O L O G YPA
U R O L O G YCA
Internal MedicineCA

Reviews

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Frequently asked questions

What is DR. STUART PAINE MICHELSON (MD)'s NPI number?
DR. STUART PAINE MICHELSON (MD)'s NPI is 1003813882 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. STUART PAINE MICHELSON (MD)?
You should see DR. STUART PAINE MICHELSON (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. STUART PAINE MICHELSON (MD)'s focus?
For DR. STUART PAINE MICHELSON (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. STUART PAINE MICHELSON (MD)?
Travel planning: use South Lake Tahoe, California as the reference point for DR. STUART PAINE MICHELSON (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.