DR. TED MICHAEL STAMPIEN (M.D.) – Dermatology Physician, NPI 1508920398

DR. TED MICHAEL STAMPIEN (M.D.) is a healthcare provider. based in Clarks summit, Pennsylvania. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD073072L (PA). The NPI Number for DR. TED MICHAEL STAMPIEN (M.D.) is 1508920398

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. TED MICHAEL STAMPIEN (M.D.)
NPI
1508920398
Phone
(570) 586-7220
Address
103 W Grove St
Enumeration Date
19 December 2006
Last Update Date
4 November 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5709615522
Graduation Year
1990 (36 years ago)
PAC ID
5698958643
Group Practice PAC ID
2668459066
Professional Enrollment ID
I20110329000279
Address ID
PA185031535SC327XXAVEX416
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

808 DERMATOLOGY in PA

Provider Addresses for DR. TED MICHAEL STAMPIEN (M.D.)

  • 103 W Grove St

    Clarks Summit, PA 184112019

    Phone: (570) 586-7220

    Fax: (570) 586-9294

    Type: Location

  • 327 N WASHINGTON AVE STE 200

    SCRANTON, PA 185031535

    Phone: (570) 961-5522

    Fax: (570) 207-5579

    Type: Mailing

  • 103, West Grove Street, Clarks Summit, Lackawanna County, Pennsylvania, 18411, United States

    CLARKS SUMMIT, PA 184112019

    Phone: (570) 586-7220

    Fax: (570) 586-9294

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,056.

Total Amount is formed as General ($1,056) + Research ($0) + Ownership ($0) = $1,056.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($302).

Total Amount

$1,056

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,056

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

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: 2011-03-29

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
I20110329000279IDermatologyPATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,048240$0
99213Established patient office or other outpatient visit, 20-29 minutes990821$0
17000Destruction of precancer skin growth, 1 growth351290$0
11102Biopsy of related skin growth, first growth309273$0
99212Established patient office or other outpatient visit, 10-19 minutes216201$0
View full utilization report →

Insurance plans in this area (ZIP 18411)

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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: 2668459066View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
D E R M A T O L O G YPA
Physician AssistantPA
D E R M A T O L O G YPA
-PA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA

Reviews

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Frequently asked questions

Can I cross-check DR. TED MICHAEL STAMPIEN (M.D.) using NPI 1508920398?
NPI 1508920398 belongs to DR. TED MICHAEL STAMPIEN (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. TED MICHAEL STAMPIEN (M.D.)?
You should see DR. TED MICHAEL STAMPIEN (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. TED MICHAEL STAMPIEN (M.D.)?
DR. TED MICHAEL STAMPIEN (M.D.)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. TED MICHAEL STAMPIEN (M.D.)?
Directory geography for DR. TED MICHAEL STAMPIEN (M.D.) centers on Clarks Summit, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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