DR. BRUCE EDMUND STALEY (MD) – Internal Medicine Physician, NPI 1841283033

DR. BRUCE EDMUND STALEY (MD) is a healthcare provider. based in Wilmington, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35046235S (OH). The NPI Number for DR. BRUCE EDMUND STALEY (MD) is 1841283033

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE EDMUND STALEY (MD)
NPI
1841283033
Phone
(937) 382-5030
Address
891 W LOCUST ST
Enumeration Date
24 August 2005
Last Update Date
6 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9372832273
Graduation Year
1980 (46 years ago)
PAC ID
7416089214
Group Practice PAC ID
6709065931
Professional Enrollment ID
I20100716000415
Address ID
OH451772188WI31XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for DR. BRUCE EDMUND STALEY (MD)

  • 891, West Locust Street, Wilmington Commercial Historic District, Wilmington, Clinton County, Ohio, 45177, United States

    WILMINGTON, OH 451772118

    Phone: (937) 382-5030

    Fax: (937) 655-8390

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Lilly USA, LLC ($22).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2010-07-16

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
I20100716000415IInternal 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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only423306$0
99213Established patient office or other outpatient visit, 20-29 minutes10032$0
36415Insertion of needle into vein for collection of blood sample4631$0
View full utilization report →

Insurance plans in this area (ZIP 45177)

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Provider's Procedures

DR. BRUCE EDMUND STALEY (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report319270

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: 6709065931View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. BRUCE EDMUND STALEY (MD)?
The federal identifier for DR. BRUCE EDMUND STALEY (MD) is NPI 1841283033.
Is DR. BRUCE EDMUND STALEY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. BRUCE EDMUND STALEY (MD)'s specialty in plain language?
Clinically, the directory lists DR. BRUCE EDMUND STALEY (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRUCE EDMUND STALEY (MD)?
The page summarizes Wilmington, Ohio for DR. BRUCE EDMUND STALEY (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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