DR. SAM M STUMER (OD) – Optometrist, NPI 1881756476

DR. SAM M STUMER (OD) is a healthcare provider. based in Rockville, Delaware. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. DA1451 (MD). The NPI Number for DR. SAM M STUMER (OD) is 1881756476

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAM M STUMER (OD)
NPI
1881756476
Phone
(301) 816-6660
Address
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL COMP
Enumeration Date
14 December 2006
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
3026454789
Graduation Year
1991 (35 years ago)
PAC ID
6901946326
Group Practice PAC ID
9133350846
Professional Enrollment ID
I20230214001281
Address ID
DE199716155RE187562XXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

140 OPTOMETRY in DE

Provider Addresses for DR. SAM M STUMER (OD)

  • KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL COMP

    2101 EAST JEFFERSON STREET PPQA MEDICARE COMP UNIT 6 WE

    ROCKVILLE, DE 208524908

    Phone: (301) 816-6660

    Fax: (301) 816-6300

    Type: Mailing

  • 18756 COASTAL HWY UNIT 2

    REHOBOTH BEACH, DE 199716155

    Phone: (302) 645-4789

    Fax: (844) 876-6925

    Type: Location

  • 1932 Great Falls St

    McLean, VA 221015420

    Phone: (703) 237-4050

    Fax: (703) 237-4024

    Type: Location

  • 1932, Great Falls Street, Devon Park, McLean, Fairfax County, Virginia, 22101, United States

    MCLEAN, VA 221015420

    Phone: (703) 237-4050

    Fax: (703) 237-4024

    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: 2023-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230214001281IOptometryDETBD

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
92004New patient complete exam of visual system3939$0
92014Established patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 20852)

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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: 9133350846View full group profile
NameSpecialtyState
O P T O M E T R YDE

Reviews

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Frequently asked questions

How do payers reference DR. SAM M STUMER (OD)?
For DR. SAM M STUMER (OD), use NPI 1881756476 as the unique 10-digit identifier.
Is there an active status for DR. SAM M STUMER (OD)?
For scheduling context, DR. SAM M STUMER (OD) is shown as active in the registry.
What clinical focus is listed for DR. SAM M STUMER (OD)?
At a glance, DR. SAM M STUMER (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Delaware is DR. SAM M STUMER (OD) registered?
Use Rockville, Delaware as the headline location for DR. SAM M STUMER (OD) here.
When was this NPI issued?
Enumeration for DR. SAM M STUMER (OD) is noted as December 14, 2006 where the registry provides it.

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