GREGORY STIDHAM (MD) – Family Medicine Physician, NPI 1487627378

GREGORY STIDHAM (MD) is a healthcare provider. based in Martinsville, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101-037121 (VA). The NPI Number for GREGORY STIDHAM (MD) is 1487627378

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY STIDHAM (MD)
NPI
1487627378
Phone
(276) 670-3300
Address
1107A BROOKDALE ST
Enumeration Date
10 February 2006
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
5404844800
Graduation Year
1983 (43 years ago)
PAC ID
5193621001
Group Practice PAC ID
3678670221
Professional Enrollment ID
I20031211000077
Address ID
VA241511767RO390XXSTXX404

Contacts

Secure Messaging
gstidham10058@direct.carilionclinic.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,174 FAMILY PRACTICE in VA

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Provider Addresses for GREGORY STIDHAM (MD)

  • 1107, Brookdale Street, Martinsville, Martinsville City, Virginia, 24112, United States

    MARTINSVILLE, VA 241124501

    Phone: (276) 670-3300

    Mailing address matches the actual address.

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: 2003-12-11

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
I20031211000077IFamily PracticeVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6665$0
99214Established patient office or other outpatient visit, 30-39 minutes3534$0
36415Insertion of needle into vein for collection of blood sample2323$0
View full utilization report →

Insurance plans in this area (ZIP 24112)

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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: 3678670221View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerTN
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
-VA
Family PracticeMI
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Does GREGORY STIDHAM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GREGORY STIDHAM (MD) uses 1487627378.
Can I rely on GREGORY STIDHAM (MD) being an active provider?
As of the registry snapshot, GREGORY STIDHAM (MD) is marked active.
What taxonomy line describes GREGORY STIDHAM (MD)?
For research purposes, treat GREGORY STIDHAM (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is GREGORY STIDHAM (MD) based?
GREGORY STIDHAM (MD) is tied to Martinsville, Virginia in the data we show; additional addresses may exist on the full record.
Why does GREGORY STIDHAM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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