STEPHEN STEWART STUKOVSKY (MD) – Family Medicine Physician, NPI 1467543306

STEPHEN STEWART STUKOVSKY (MD) is a healthcare provider. based in Seattle, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A100366 (CA). The NPI Number for STEPHEN STEWART STUKOVSKY (MD) is 1467543306

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN STEWART STUKOVSKY (MD)
NPI
1467543306
Phone
(206) 250-9284
Address
5725 58TH AVE NE
Enumeration Date
27 September 2006
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253395442
Graduation Year
2004 (22 years ago)
PAC ID
7416042734
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20071002000450
Address ID
WA982014918EV3901XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for STEPHEN STEWART STUKOVSKY (MD)

  • 5725, 58th Avenue Northeast, View Ridge, Windermere, Seattle, King County, Washington, 98105, United States

    SEATTLE, WA 981052019

    Phone: (206) 250-9284

    Type: Mailing

  • PO BOX 5127

    EVERETT, WA 982065127

    Phone: (425) 304-8431

    Type: Mailing

  • 1025 153RD ST SE STE 200

    MILL CREEK, WA 980124051

    Phone: (425) 338-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Abbott Laboratories ($91).

Total Amount

$104

General + Research + Ownership

Payments

5

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-10-02

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
I20071002000450IFamily PracticeWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10072$0
99213Established patient office or other outpatient visit, 20-29 minutes9873$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1414$0
G0009Administration of pneumococcal vaccine1414$0
View full utilization report →

Insurance plans in this area (ZIP 98105)

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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: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

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Frequently asked questions

How do I look up STEPHEN STEWART STUKOVSKY (MD) by NPI?
Use NPI 1467543306 when you need to reference STEPHEN STEWART STUKOVSKY (MD) in forms, claims, or directories.
Is STEPHEN STEWART STUKOVSKY (MD)'s NPI currently valid?
The extract we use shows STEPHEN STEWART STUKOVSKY (MD) as active.
Does STEPHEN STEWART STUKOVSKY (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for STEPHEN STEWART STUKOVSKY (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHEN STEWART STUKOVSKY (MD)?
The page summarizes Seattle, Washington for STEPHEN STEWART STUKOVSKY (MD); expand the address list for detail.
Is STEPHEN STEWART STUKOVSKY (MD) a real provider?
This page reflects official NPPES data for NPI 1467543306. Always confirm identity and privileges with the practice and licensing boards.

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