DR. PAUL STELMACH (M.D.) – Pulmonary Disease Physician, NPI 1396765384
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,962 INTERNAL MEDICINE in PA
Provider Addresses for DR. PAUL STELMACH (M.D.)
2608 KAISER BLVD
WYOMISSING, PA 196103333
Phone: (610) 929-2433
Fax: (610) 929-1528
Type: Mailing
1011 W Baltimore Pike
West Grove, PA 193909446
Phone: (106) 855-8646
Fax: (610) 929-1528
Type: Location
13 Armand Hammer Blvd
Ste 300
Pottstown, PA 194645067
Phone: (610) 685-5864
Fax: (610) 929-1528
Type: Location
2608 KEISER BLVD
WYOMISSING, PA 196103333
Phone: (610) 929-5864
Fax: (610) 929-1528
Type: Mailing
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: 2010-03-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100310000415 | I | Internal Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 71 | 38 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 59 | 39 | $0 |
| 99291 | Critical care, first 30-74 minutes | 22 | 12 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 19610)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | PA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 93 | 88 |
| PULMONARY DISEASE | PA | 94727 | Determination of lung volumes using gas dilution or washout | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Hospitalist | NY | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | PA | |
| Physician Assistant | DE | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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