BILL STAHLBERG (PA-C) – Surgical Physician Assistant, NPI 1992743215

BILL STAHLBERG (PA-C) is a healthcare provider. based in Mount vernon, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01128 (OR). The NPI Number for BILL STAHLBERG (PA-C) is 1992743215

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BILL STAHLBERG (PA-C)
NPI
1992743215
Phone
Not provided
Address
1400 E KINCAID ST
Enumeration Date
2 June 2006
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608145900
Graduation Year
2002 (24 years ago)
PAC ID
1658377247
Group Practice PAC ID
6800793522
Professional Enrollment ID
I20200925000598
Address ID
WA982744107MO211XXSTXX400

Contacts

Secure Messaging
bstahlberg32279@skagit.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for BILL STAHLBERG (PA-C)

  • 1400 E KINCAID ST

    MOUNT VERNON, WA 982744127

    Phone:

    Type: Mailing

  • 2320 FREEWAY DR

    MOUNT VERNON, WA 982735445

    Phone: (360) 814-6800

    Fax: (360) 814-6953

    Type: Location

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • 211, Forest Street, McCall, Valley County, Idaho, 83638, United States

    MCCALL, ID 836385256

    Phone: (208) 634-2225

    Fax: (208) 634-7212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($96).

Total Amount

$117

General + Research + Ownership

Payments

2

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

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: 2020-09-25

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
I20200925000598IPhysician AssistantWATBD

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 minutes6456$0
20610Aspiration and/or injection of fluid from large joint2220$0
99214Established patient office or other outpatient visit, 30-39 minutes2117$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
27447Replacement of knee joint, both sides of knee1918$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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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: 6800793522View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YWA
D E R M A T O L O G YNY
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Undefined Physician Type (Specify)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
O T O L A R Y N G O L O G YWA

Reviews

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Frequently asked questions

What unique ID ties claims to BILL STAHLBERG (PA-C)?
NPI 1992743215 is assigned to BILL STAHLBERG (PA-C) under the national enumeration system.
Is BILL STAHLBERG (PA-C) currently active in the NPI registry?
CMS-published data lists BILL STAHLBERG (PA-C) as an active registrant.
Can you summarize BILL STAHLBERG (PA-C)'s specialty in plain language?
Clinically, the directory lists BILL STAHLBERG (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place BILL STAHLBERG (PA-C)?
The snapshot lists Mount Vernon, Washington for BILL STAHLBERG (PA-C); download NPPES for the complete set.
Is BILL STAHLBERG (PA-C) a real provider?
This page reflects official NPPES data for NPI 1992743215. Always confirm identity and privileges with the practice and licensing boards.

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