ANGELA STORK (MD) – Surgery Physician, NPI 1386932192
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for ANGELA STORK (MD)
855 ILLINI DR STE 304
SILVIS, IL 612822904
Phone: (309) 281-2120
Type: Mailing
PO BOX 421718
GEORGETOWN, SC 294424203
Phone: (843) 527-7000
Type: Mailing
855 Illini Dr Ste 304
Silvis, IL 612822904
Phone: (309) 281-2120
Type: Location
4181 Highway 17
Murrells Inlet, SC 295765019
Phone: (843) 651-3308
Fax: (843) 651-4629
Type: Location
8203 Nigels Dr
Myrtle Beach, SC 295724177
Phone: (843) 651-3308
Fax: (843) 651-4629
Type: Location
2405 N FRASER ST
GEORGETOWN, SC 294407764
Phone: (843) 651-3308
Fax: (843) 651-4629
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $514.
Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: HOLOGIC INC ($400).
Total Amount
$514
General + Research + Ownership
Payments
2
Total payment records
General Amount
$514
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HOLOGIC INC | $400 |
| Hologic Sales and Service, LLC | $114 |
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: 2024-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170819000273 | I | General Surgery | IL | TBD |
| I20180710002223 | I | General Surgery | IA | TBD |
| I20241125004314 | I | General Surgery | SC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61282)
Loading plans...
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | SC | |
| Family Practice | FL | |
| - | SC | |
| - | SC | |
| - | SC | |
| - | SC | |
| Sports Medicine, Orthopedic Surgery | SC | |
| Internal Medicine | SC | |
| - | SC | |
| G A S T R O E N T E R O L O G Y | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.