GERALD S STIPANUK (MD) – Internal Medicine Physician, NPI 1669459905

GERALD S STIPANUK (MD) is a healthcare provider. based in Greenfield, Tennessee. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 29939 (TN). The NPI Number for GERALD S STIPANUK (MD) is 1669459905

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
GERALD S STIPANUK (MD)
NPI
1669459905
Phone
(731) 235-0555
Address
801 S MERIDIAN ST
Enumeration Date
28 December 2005
Deactivation Date
1 November 2017
Reactivation Date
21 November 2017
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8709335174
Graduation Year
1977 (49 years ago)
PAC ID
1951343169
Group Practice PAC ID
9133429152
Professional Enrollment ID
I20110921000289
Address ID
AR724014311JO1201XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

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Provider Addresses for GERALD S STIPANUK (MD)

  • 801, South Meridian Street, Greenfield, Weakley County, Tennessee, 38230, United States

    GREENFIELD, TN 382302104

    Phone: (731) 235-0555

    Fax: (731) 235-0559

    Type: Mailing

  • Great River Medical Center, 1520, North Division Street, Chickasawba, Blytheville, Mississippi County, Arkansas, 72315, United States

    BLYTHEVILLE, AR 723151448

    Phone: (731) 235-0555

    Fax: (731) 235-0559

    Type: Location

  • 1201 Fleming Ave

    Jonesboro, AR 724014311

    Phone: (870) 201-0534

    Type: Location

  • 1007 WINDOVER RD # 6009

    JONESBORO, AR 724016007

    Phone: (870) 520-6473

    Type: Location

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: 2011-09-21

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
I20050527000366IInternal MedicineTNTBD
I20110921000289IInternal MedicineARTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4,031413$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes618350$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes333306$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes26487$0
99239Hospital discharge day management, more than 30 minutes9186$0
View full utilization report →

Insurance plans in this area (ZIP 38230)

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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: 9133429152View full group profile
NameSpecialtyState
Internal MedicineAR
-OK
Nurse PractitionerAR

Reviews

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Frequently asked questions

How is GERALD S STIPANUK (MD) identified in CMS data?
CMS-hosted NPPES data lists GERALD S STIPANUK (MD) with NPI 1669459905.
Does the file indicate GERALD S STIPANUK (MD) is practicing under active NPI?
Directory data currently reports GERALD S STIPANUK (MD) as active.
What taxonomy line describes GERALD S STIPANUK (MD)?
For research purposes, treat GERALD S STIPANUK (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does GERALD S STIPANUK (MD) serve?
GERALD S STIPANUK (MD)'s listing highlights Greenfield, Tennessee; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.