PATRICIA KINSELLA-STALLTER (D.O.) – Family Medicine Physician, NPI 1174519664

PATRICIA KINSELLA-STALLTER (D.O.) is a healthcare provider. based in Aurora, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 036-101480 (IL). The NPI Number for PATRICIA KINSELLA-STALLTER (D.O.) is 1174519664

Main info

Female
31 Years Of Experience
Name
PATRICIA KINSELLA-STALLTER (D.O.)
NPI
1174519664
Phone
(630) 499-0812
Address
2972 INDIAN TRAIL RD
Enumeration Date
21 September 2005
Last Update Date
20 July 2020

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6304990812
Graduation Year
1995 (31 years ago)
PAC ID
2567470651
Group Practice PAC ID
7618864877
Professional Enrollment ID
I20060331000161
Address ID
IL605029408AU2972XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for PATRICIA KINSELLA-STALLTER (D.O.)

  • East Indian Trail Road, Aurora, Aurora Township, Kane County, Illinois, 60502, United States

    AURORA, IL 605029408

    Phone: (630) 499-0812

    Fax: (630) 499-0823

    Type: Location

  • 2972 INDIAN TRAIL RD STE A

    AURORA, IL 605029408

    Phone: (630) 499-0812

    Fax: (630) 499-0823

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 120 Open Payments records for all available years, with a total value of $2,245.

Total Amount is formed as General ($2,245) + Research ($0) + Ownership ($0) = $2,245.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($341).

Total Amount

$2,245

General + Research + Ownership

Payments

120

Total payment records

General Amount

$2,245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2006-03-31

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
I20060331000161IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8260$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
99213Established patient office or other outpatient visit, 20-29 minutes4234$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1414$0
View full utilization report →

Insurance plans in this area (ZIP 60502)

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Provider's Procedures

PATRICIA KINSELLA-STALLTER (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle2222

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: 7618864877View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryIL
Nurse PractitionerIL
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
D E R M A T O L O G YIL
Internal MedicineIL
Internal MedicineIL
-IL

Reviews

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Frequently asked questions

What identifier follows PATRICIA KINSELLA-STALLTER (D.O.) across health systems?
The NPI 1174519664 uniquely identifies PATRICIA KINSELLA-STALLTER (D.O.) in U.S. healthcare data.
Is PATRICIA KINSELLA-STALLTER (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists PATRICIA KINSELLA-STALLTER (D.O.) as active.
How should patients interpret PATRICIA KINSELLA-STALLTER (D.O.)'s specialty?
The extract shows Family Medicine Physician for PATRICIA KINSELLA-STALLTER (D.O.). Clinical services aligned with this taxonomy classification.
Which community is linked to PATRICIA KINSELLA-STALLTER (D.O.)?
PATRICIA KINSELLA-STALLTER (D.O.) shows a connection to Aurora, Illinois in registry-derived data.
Can I export PATRICIA KINSELLA-STALLTER (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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