DR. CAROLYN STULL (MD) – Dermatology Physician, NPI 1881123073

DR. CAROLYN STULL (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 125071779 (IL). The NPI Number for DR. CAROLYN STULL (MD) is 1881123073

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN STULL (MD)
NPI
1881123073
Phone
Not provided
Address
3400 CIVIC CENTER BLVD
Enumeration Date
9 June 2017
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6315434888
Graduation Year
2017 (9 years ago)
PAC ID
7416206008
Group Practice PAC ID
1355402249
Professional Enrollment ID
I20230914003634
Address ID
NY117254200CO353XXHWYX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

808 DERMATOLOGY in PA

Provider Addresses for DR. CAROLYN STULL (MD)

  • 3400 CIVIC CENTER BLVD

    PHILADELPHIA, PA 191045127

    Phone:

    Type: Mailing

  • Rush University Medical Center, 1653, West Congress Parkway, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606123833

    Phone: (888) 352-7874

    Type: Mailing

  • Bellet Building, 245, North 15th Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19108, United States

    PHILADELPHIA, PA 19102

    Phone: (215) 762-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,234.

Total Amount is formed as General ($1,234) + Research ($0) + Ownership ($0) = $1,234.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($241).

Total Amount

$1,234

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2023-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210820002511IDermatologyPATBD
I20230914003634IDermatologyNYTBD

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 growths10323$0
99213Established patient office or other outpatient visit, 20-29 minutes5958$0
17000Destruction of precancer skin growth, 1 growth3030$0
11102Biopsy of related skin growth, first growth2525$0
17110Destruction of skin growth, 1-14 growths1515$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 1355402249View full group profile
NameSpecialtyState
D E R M A T O L O G YNY
D E R M A T O L O G YNY
D E R M A T O L O G YNY
D E R M A T O L O G YNY
D E R M A T O L O G YNJ
D E R M A T O L O G YNY
Physician AssistantNY
Physician AssistantNY
D E R M A T O L O G YNY
D E R M A T O L O G YNY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CAROLYN STULL (MD)?
NPI 1881123073 is assigned to DR. CAROLYN STULL (MD) under the national enumeration system.
Is DR. CAROLYN STULL (MD)'s NPI currently valid?
The extract we use shows DR. CAROLYN STULL (MD) as active.
What does DR. CAROLYN STULL (MD) treat or focus on?
Patients typically see DR. CAROLYN STULL (MD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CAROLYN STULL (MD)'s primary listing?
We display Philadelphia, Pennsylvania because that is what the record indicates for DR. CAROLYN STULL (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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