DR. MICHAEL J STUMPF D.O.
NPI 1003015918
Surgery in Phoenix, AZ

NPI Status: Active since July 12, 2007

Contact Information

20940 N. TATUM BLVD. STE #350
PHOENIX, AZ
ZIP 85050
Phone: (844) 436-7874
Fax: (877) 828-6834

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  • Individual
  • Male
  • Surgery
  • PECOS Enrolled

About MICHAEL STUMPF

Michael Stumpf is a provider established in Phoenix, Arizona and his medical specialization is Surgery. The healthcare provider is registered in the NPI registry with number 1003015918 assigned on July 2007. The practitioner's primary taxonomy code is 208600000X with license number 4658 (AZ). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1003015918
Provider Name
DR. MICHAEL J STUMPF D.O.
Gender
Male
Entity Type
Individual
Location Address
20940 N. TATUM BLVD. STE #350 PHOENIX, AZ 85050
Location Phone
(844) 436-7874
Location Fax
(877) 828-6834
Mailing Address
29455 N. CAVE CREEK RD STE #118-451 PHOENIX, AZ 85331
Mailing Phone
(844) 436-7874
Mailing Fax
(877) 828-6834
Is Sole Proprietor?
No
Enumeration Date
07-12-2007
Last Update Date
05-20-2020
Code Navigator

A surgeon like Michael Stumpf treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
4658
License State
AZ
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

OS10828 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BannerAetna

    • BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 2: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 5: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Silver 6: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
  • Blue Cross Blue Shield of Arizona

    • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
    • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
    • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
    • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
    • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Cigna HealthCare of Arizona, Inc

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 8900 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
    • Connect Gold 2500 Indiv Med Deductible - HMO
    • Connect Gold CMS Standard - HMO
    • Connect Silver 0 Indiv Med Deductible - HMO
    • Connect Silver 4000 Indiv Med Deductible - HMO
    • Connect Silver 5000 Indiv Med Deductible - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Essential - HMO
    • UHC Bronze Standard - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
    • UHC Bronze Value HSA - HMO
    • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
    • UHC Gold Standard - HMO
    • UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
270795MEDICAID (05)AZ 

PECOS Enrollment and Medicare Participation Status

Michael Stumpf is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85050 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.33
  • Minimum New Patient Price $57.31
  • Maximum New Patient Price $174.67
  • Average New Patient Copayment $22.08
  • Minimum New Patient Copayment $14.32
  • Maximum New Patient Copayment $43.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.86
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $142.64
  • Average Established Patient Copayment $17.96
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $35.66

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 67

    Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

  • 30

    Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) (HCPCS:15271)

Reviews for DR. MICHAEL J STUMPF D.O.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015918
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011092
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 9 + 2 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003015918 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015918, enumerated in the NPI registry as an "individual" on July 12, 2007

The provider is located at 20940 N. Tatum Blvd. Ste #350 Phoenix, Az 85050 and the phone number is (844) 436-7874

The provider's speciality is Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: BannerAetna, Blue Cross Blue Shield of Arizona,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.33 with an average copayment of $22.08 for new patient appointments. Established patients should expect a typical charge of $71.86 and an average copayment of 17.96. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Removal of skin and tissue first 20 sq cm or less and Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less).

This NPI record was last updated on July 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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