MARVIN D STALTER (MD) – Emergency Medicine Physician, NPI 1700817194

MARVIN D STALTER (MD) is a healthcare provider. based in Bryan, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35-076325 (OH). The NPI Number for MARVIN D STALTER (MD) is 1700817194

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MARVIN D STALTER (MD)
NPI
1700817194
Phone
(419) 630-0491
Address
12306 COUNTY ROAD E 35
Enumeration Date
5 July 2006
Last Update Date
7 October 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
4193559440
Graduation Year
1998 (28 years ago)
PAC ID
8325136070
Group Practice PAC ID
2769386192
Professional Enrollment ID
I20081203000782
Address ID
OH434209760FR1479XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for MARVIN D STALTER (MD)

  • Hill House Road, Knighton, Brampton Bryan, Powys, Wales, LD7 1NA, United Kingdom

    BRYAN, OH 435062409

    Phone: (419) 630-0491

    Fax: (419) 630-0491

    Mailing address matches the actual address.

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: 2008-12-03

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
I20081203000782IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making156140$0
99284Emergency department visit with moderate level of medical decision making9794$0
99283Emergency department visit with low level of medical decision making5555$0
View full utilization report →

Insurance plans in this area (ZIP 43506)

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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: 2769386192View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
-OH
Nurse PractitionerOH
Physical Therapist In Private PracticeOH
D E R M A T O L O G YOH
-OH
P O D I A T R YOH
-OH
Sports MedicineOH

Reviews

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Frequently asked questions

How is MARVIN D STALTER (MD) identified in CMS data?
CMS-hosted NPPES data lists MARVIN D STALTER (MD) with NPI 1700817194.
Is MARVIN D STALTER (MD) listed as active for patients and plans?
The listing shows MARVIN D STALTER (MD) as active in the NPI system.
What is MARVIN D STALTER (MD)'s specialty?
The listing groups MARVIN D STALTER (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MARVIN D STALTER (MD) list a practice location?
Patients near Bryan, Ohio may find MARVIN D STALTER (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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