EDWARD P STACK (M.D.) – Ophthalmology Physician, NPI 1801899885

EDWARD P STACK (M.D.) is a healthcare provider. based in Flint, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301065179 (MI). The NPI Number for EDWARD P STACK (M.D.) is 1801899885

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD P STACK (M.D.)
NPI
1801899885
Phone
(810) 720-9111
Address
5300 GATEWAY CTR
Enumeration Date
24 May 2005
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8107209111
Graduation Year
1991 (35 years ago)
PAC ID
3375457658
Group Practice PAC ID
1658317748
Professional Enrollment ID
I20031119000687
Address ID
MI485073930FL5300XCTRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

844 OPHTHALMOLOGY in MI

Provider Addresses for EDWARD P STACK (M.D.)

  • 5300 GATEWAY CTR

    FLINT, MI 485073930

    Phone: (810) 720-9111

    Fax: (810) 720-9119

    Type: Location

  • West Lennon Road, Lennon, Clayton Township, Genesee County, Michigan, 48449, United States

    FLINT, MI 485071024

    Phone: (810) 720-9111

    Fax: (810) 720-9119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,047.

Total Amount is formed as General ($1,047) + Research ($0) + Ownership ($0) = $1,047.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($331).

Total Amount

$1,047

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,047

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2003-11-19

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
I20031119000687IOphthalmologyMITBD

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 minutes634489$0
99213Established patient office or other outpatient visit, 20-29 minutes383293$0
92083Exam of visual field with extended testing324314$0
66984Removal of cataract with insertion of prosthetic lens319110$0
92134Imaging of retina289208$0
View full utilization report →

Insurance plans in this area (ZIP 48507)

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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: 1658317748View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

Does EDWARD P STACK (M.D.) have a public NPI I can cite?
Public records show EDWARD P STACK (M.D.) under NPI 1801899885.
Is EDWARD P STACK (M.D.)'s NPI status active today?
Active status means EDWARD P STACK (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits EDWARD P STACK (M.D.)?
NPPES ties EDWARD P STACK (M.D.) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to EDWARD P STACK (M.D.)?
EDWARD P STACK (M.D.) shows a connection to Flint, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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