JOHN LAWRENCE STUNTZ – Surgical Physician Assistant, NPI 1871223008

JOHN LAWRENCE STUNTZ is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA.0007563 (CO). The NPI Number for JOHN LAWRENCE STUNTZ is 1871223008

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LAWRENCE STUNTZ
NPI
1871223008
Phone
(208) 282-4726
Address
921 S 8TH AVE STOP 8253
Enumeration Date
11 June 2022
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037838855
Graduation Year
2022 (4 years ago)
PAC ID
4486022217
Group Practice PAC ID
2769488329
Professional Enrollment ID
I20221128002938
Address ID
CO801132885EN500XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for JOHN LAWRENCE STUNTZ

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $455.

Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Stryker Corporation ($169).

Total Amount

$455

General + Research + Ownership

Payments

4

Total payment records

General Amount

$455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

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: 2022-11-28

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
I20221128002938IPhysician AssistantCOTBD

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 83209)

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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: 2769488329View full group profile
NameSpecialtyState
N E U R O S U R G E R YCO
N E U R O S U R G E R YCO
Physician AssistantCO
Physician AssistantCO
N E U R O S U R G E R YCO
Physician AssistantFL
Physician AssistantCO
N E U R O S U R G E R YCO
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

What number should I use to identify JOHN LAWRENCE STUNTZ for billing?
Administrative and clinical systems typically use NPI 1871223008 for JOHN LAWRENCE STUNTZ.
Does the public listing show JOHN LAWRENCE STUNTZ as active?
JOHN LAWRENCE STUNTZ's NPI record reflects an active status in NPPES.
How should patients interpret JOHN LAWRENCE STUNTZ's specialty?
The extract shows Surgical Physician Assistant for JOHN LAWRENCE STUNTZ. Clinical services aligned with this taxonomy classification.
Can patients visit JOHN LAWRENCE STUNTZ in Pocatello, Idaho?
For routing, start with Pocatello, Idaho for JOHN LAWRENCE STUNTZ, then verify phone and hours locally.
Can I export JOHN LAWRENCE STUNTZ's record?
You can download the official NPPES record; we summarize key fields for readability.

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