DR. ETHAN MARTIN STOLL (D.O.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1770804627

DR. ETHAN MARTIN STOLL (D.O.) is a healthcare provider. based in Spring, Texas. specializing in PATHOLOGY. They hold the professional credentials D.O.. They hold a License No. Q7286 (TX). The NPI Number for DR. ETHAN MARTIN STOLL (D.O.) is 1770804627

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ETHAN MARTIN STOLL (D.O.)
NPI
1770804627
Phone
(346) 674-4000
Address
22407 Holzwarth Rd
Enumeration Date
15 June 2010
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
7134411771
Graduation Year
2010 (16 years ago)
PAC ID
5395970800
Group Practice PAC ID
4082625173
Professional Enrollment ID
I20161011002841
Address ID
TX773853311TH17201SXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

1,394 PATHOLOGY in TX

Provider Addresses for DR. ETHAN MARTIN STOLL (D.O.)

  • 22407 Holzwarth Rd

    Spring, TX 773891933

    Phone: (346) 674-4000

    Type: Location

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • HOUSTON METHODIST

    6565 FANNIN ST

    HOUSTON, TX 77030

    Phone: (346) 217-3570

    Type: Location

  • 2635 SW 35TH PL

    UNIT 1203

    GAINESVILLE, FL 326083294

    Phone: (614) 946-3585

    Type: Mailing

  • 1600 SW ARCHER RD

    UNIVERSITY OF FLORIDA, DEPT OF PATHOLOGY

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0680

    Type: Location

  • 2231 BLUE DUCK LN

    CONROE, TX 773842701

    Phone: (346) 217-3570

    Type: Mailing

  • PO BOX 4701

    HOUSTON, TX 772104701

    Phone: (800) 288-8325

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$17
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: 2016-10-11

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
I20161011002841IPathologyTXTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity783368$0
88341Special stained specimen slides to examine tissue, each additional procedure20953$0
88342Special stained specimen slides to examine tissue, initial procedure10387$0
88307Pathology examination of tissue using a microscope, moderately high complexity7958$0
88304Pathology examination of tissue using a microscope, moderately low complexity7364$0
View full utilization report →

Insurance plans in this area (ZIP 77389)

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Provider's Procedures

DR. ETHAN MARTIN STOLL (D.O.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYFL88312Special stained specimen slides to identify organisms including interpretation and report5041
PATHOLOGYFL88342Tissue or cell analysis by immunologic technique6759

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: 4082625173View full group profile
NameSpecialtyState
P A T H O L O G YMS
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YCT
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to DR. ETHAN MARTIN STOLL (D.O.)?
The federal identifier for DR. ETHAN MARTIN STOLL (D.O.) is NPI 1770804627.
Is DR. ETHAN MARTIN STOLL (D.O.)'s NPI currently valid?
The extract we use shows DR. ETHAN MARTIN STOLL (D.O.) as active.
What field does DR. ETHAN MARTIN STOLL (D.O.) work in?
You can think of DR. ETHAN MARTIN STOLL (D.O.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ETHAN MARTIN STOLL (D.O.)?
We surface Spring, Texas for DR. ETHAN MARTIN STOLL (D.O.) based on available NPPES addresses.
What if Spring, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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