DR. STELLA UGBOMA (MD) – Anesthesiology Physician, NPI 1073574919
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,268 ANESTHESIOLOGY in OH
Provider Addresses for DR. STELLA UGBOMA (MD)
1805 27th St
Portsmouth, OH 456622640
Phone: (740) 356-8231
Fax: (740) 353-3686
Type: Location
4000 Wellness Dr
Midland, MI 486709493
Phone: (989) 839-3000
Type: Location
3015 LEDGESTONE PL NE
GRAND RAPIDS, MI 495257066
Phone: (734) 945-2653
Type: Mailing
Evergreen Drive Northeast, Evergreen Lake Condominiums, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495259493
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2024-01-29 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($68).
Total Amount
$68
General + Research + Ownership
Payments
4
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $68 |
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: 2024-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20031231000739 | I | Anesthesiology | MI | TBD |
| I20060421000344 | I | Anesthesiology | IN | TBD |
| I20191218002236 | I | Anesthesiology | OH | TBD |
| I20240401000171 | I | Anesthesiology | PA | 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 45662)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MI | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | PA | |
| A N E S T H E S I O L O G Y | MD | |
| - | VA | |
| - | VA | |
| - | VA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
Reviews
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