DR. RODD GALT STOCKWELL (M.D.) – Family Medicine Physician, NPI 1972615649

DR. RODD GALT STOCKWELL (M.D.) is a healthcare provider. based in Liberal, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 203185 (MA). The NPI Number for DR. RODD GALT STOCKWELL (M.D.) is 1972615649

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. RODD GALT STOCKWELL (M.D.)
NPI
1972615649
Phone
(620) 624-2055
Address
P.O. BOX 1215
Enumeration Date
31 August 2006
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Secondary Phone
7076511000
Graduation Year
1998 (28 years ago)
PAC ID
3072415991
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20121010000245
Address ID
CA945892441VA975XXDRXX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,421 FAMILY PRACTICE in KS

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Provider Addresses for DR. RODD GALT STOCKWELL (M.D.)

  • 200 aniversario Pronunciamiento Liberal Tarifa, Paseo de la Alameda, Huerta del Rey, Tarifa, Campo de Gibraltar, Cádiz, Andalusia, 11380, Spain

    LIBERAL, KS 67905

    Phone: (620) 624-2055

    Fax: (620) 624-2168

    Type: Mailing

  • PO BOX 1215

    LIBERAL, KS 679051215

    Phone: (620) 624-2055

    Fax: (620) 624-2168

    Type: Mailing

  • 2330, North Kansas Avenue, Liberal, Seward County, Kansas, 67901, United States

    SUITE 1

    LIBERAL, KS 67901

    Phone: (620) 624-2055

    Fax: (620) 624-2168

    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: 2012-10-10

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
I20121010000245IFamily PracticeCATBD

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 67905)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

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.

Frequently asked questions

How do payers reference DR. RODD GALT STOCKWELL (M.D.)?
For DR. RODD GALT STOCKWELL (M.D.), use NPI 1972615649 as the unique 10-digit identifier.
Would DR. RODD GALT STOCKWELL (M.D.) appear as active to a payer?
You can treat DR. RODD GALT STOCKWELL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. RODD GALT STOCKWELL (M.D.)?
At a glance, DR. RODD GALT STOCKWELL (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. RODD GALT STOCKWELL (M.D.) located near Liberal?
DR. RODD GALT STOCKWELL (M.D.) currently maps to Liberal, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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