DR. JESSICA RUTH STUMBO (M.D.) – Internal Medicine Physician, NPI 1144434424
Internal Medicine Physician
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NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
Provider Addresses for DR. JESSICA RUTH STUMBO (M.D.)
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
1230 MARKET ST
LA GRANGE, KY 400317986
Phone: (502) 225-6900
Fax: (502) 666-7693
Type: Location
501, East Broadway, Louisville, Jefferson County, Kentucky, 40202, United States
STE. 290
LOUISVILLE, KY 402021785
Phone: (502) 217-8221
Fax: (502) 217-5056
Type: Mailing
UofL Physicians - Centers for Primary Care at Cardinal Station, 215, Central Avenue, Louisville, Jefferson County, Kentucky, 40292, United States
STE. 110
LOUISVILLE, KY 402081449
Phone: (502) 852-5205
Fax: (502) 852-5405
Type: Location
215 Central Ave
Ste. 110
Louisville, KY 402081449
Phone: (502) 852-5205
Fax: (502) 852-5405
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: 2008-02-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080212000531 | I | Internal Medicine | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 218 | 116 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 216 | 103 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 64 | 64 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 47 | 17 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 41 | 12 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| N E U R O S U R G E R Y | KY | |
| - | KY | |
| Internal Medicine | KY | |
| Orthopedic Surgery | KY | |
| Orthopedic Surgery | IL | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| N E U R O L O G Y | KY | |
| Orthopedic Surgery | KY |
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