DR. ROBERT TIMOTHY STARK (MD) – Specialist, NPI 1497794523

DR. ROBERT TIMOTHY STARK (MD) is a healthcare provider. based in Moultrie, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 45632 (GA). The NPI Number for DR. ROBERT TIMOTHY STARK (MD) is 1497794523

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT TIMOTHY STARK (MD)
NPI
1497794523
Phone
(229) 985-2198
Address
PO BOX 2876
Enumeration Date
5 June 2006
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
2299852198
Graduation Year
1994 (32 years ago)
PAC ID
1153334248
Group Practice PAC ID
3577726470
Professional Enrollment ID
I20060712000207
Address ID
GA317686784MO3XXXXCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for DR. ROBERT TIMOTHY STARK (MD)

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 985-2198

    Type: Mailing

  • 3 SWEET BAY CT

    MOULTRIE, GA 317686784

    Phone: (229) 985-2198

    Type: Location

  • 2418, North Oak Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States

    SUITE G

    VALDOSTA, GA 316022576

    Phone: (229) 588-4419

    Fax: (229) 588-4468

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($21).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

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: 2019-02-04

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
I20060712000207IObstetrics/GynecologyGATBD
I20190204000831IObstetrics/GynecologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31776)

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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: 3577726470View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNY
-FL
O B S T E T R I C S/ G Y N E C O L O G YAL
Nurse PractitionerGA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ROBERT TIMOTHY STARK (MD)?
NPI 1497794523 is assigned to DR. ROBERT TIMOTHY STARK (MD) under the national enumeration system.
Does this profile mean DR. ROBERT TIMOTHY STARK (MD) is currently active?
Yes — DR. ROBERT TIMOTHY STARK (MD) appears active in the national provider directory.
Can you summarize DR. ROBERT TIMOTHY STARK (MD)'s specialty in plain language?
Clinically, the directory lists DR. ROBERT TIMOTHY STARK (MD) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERT TIMOTHY STARK (MD)?
We surface Moultrie, Georgia for DR. ROBERT TIMOTHY STARK (MD) based on available NPPES addresses.
What if Moultrie, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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