JAMES RUSSELL KELLER STACKHOUSE (MD) – Ophthalmology Physician, NPI 1750517710

JAMES RUSSELL KELLER STACKHOUSE (MD) is a healthcare provider. based in Macclenny, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 770778 (GA). The NPI Number for JAMES RUSSELL KELLER STACKHOUSE (MD) is 1750517710

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JAMES RUSSELL KELLER STACKHOUSE (MD)
NPI
1750517710
Phone
(904) 261-5741
Address
31 S 6th St
Enumeration Date
4 June 2009
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042615741
Graduation Year
2009 (17 years ago)
PAC ID
1254572928
Group Practice PAC ID
9133473325
Professional Enrollment ID
I20140807001990
Address ID
GA315010908WA1730XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for JAMES RUSSELL KELLER STACKHOUSE (MD)

  • 31 S 6th St

    Macclenny, FL 320632311

    Phone: (904) 261-5741

    Fax: (904) 261-7383

    Type: Location

  • 542069 US Highway 1

    Callahan, FL 320118110

    Phone: (904) 261-5741

    Fax: (904) 261-7383

    Type: Location

  • 6, South 14th Street, Fernandina Beach, Nassau County, Florida, 32034, United States

    FERNANDINA BEACH, FL 320343212

    Phone: (904) 261-5741

    Fax: (904) 261-7383

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,839.

Total Amount is formed as General ($1,839) + Research ($0) + Ownership ($0) = $1,839.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Glaukos Corporation ($523).

Total Amount

$1,839

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,839

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-09-23

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
I20140807001990IOphthalmologyGATBD
I20140923001429IOphthalmologyFLTBD

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
92136Measurement of corneal curvature and depth of eye985474$0
66984Removal of cataract with insertion of prosthetic lens761413$0
99214Established patient office or other outpatient visit, 30-39 minutes572528$0
66821Removal of recurring cataract in lens capsule using a laser524331$0
92134Imaging of retina338335$0
View full utilization report →

Insurance plans in this area (ZIP 32063)

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Provider's Procedures

JAMES RUSSELL KELLER STACKHOUSE (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYLA92012Eye and medical examination for diagnosis and treatment, established patient162146

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: 9133473325View full group profile
NameSpecialtyState
O P T O M E T R YGA
-FL
O P T O M E T R YFL
O P T O M E T R YGA
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YGA
O P T O M E T R YFL

Reviews

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Frequently asked questions

How do payers reference JAMES RUSSELL KELLER STACKHOUSE (MD)?
For JAMES RUSSELL KELLER STACKHOUSE (MD), use NPI 1750517710 as the unique 10-digit identifier.
Is JAMES RUSSELL KELLER STACKHOUSE (MD) still an active registrant?
JAMES RUSSELL KELLER STACKHOUSE (MD) carries an active NPI according to the public dataset.
What area of care is associated with JAMES RUSSELL KELLER STACKHOUSE (MD)?
JAMES RUSSELL KELLER STACKHOUSE (MD)'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is JAMES RUSSELL KELLER STACKHOUSE (MD) associated with Macclenny?
Public fields place JAMES RUSSELL KELLER STACKHOUSE (MD) around Macclenny, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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