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JACOB JOSEPH STUPPY DO, MS
NPI 1063093094
Pediatrics - Pediatric Gastroenterology in Seattle, WA

Active since April 20, 2021PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2000 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2026, Apr 20, 2021 (2 updates tracked since 2021).

About Jacob Joseph Stuppy Do, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB JOSEPH STUPPY DO, MS (NPI 1063093094) is an individual pediatric gastroenterology provider in Seattle, Washington, licensed in Washington (70069204) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063093094
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameJACOB JOSEPH STUPPYCredential: DO, MS
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing Address4800 Sand Point Way NeSeattle, WA 98105-3901 · (206) 987-2000
Phone(206) 987-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 20, 2021
Last NPPES UpdateJanuary 17, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2026
✔ NPI 1063093094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WA · 70069204
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 70069204 (WA)
Also ListedPediatrics · Obesity MedicineTaxonomy 2080B0002X · License 70069204 (WA)
4800 SAND POINT WAY NE, Seattle, WA 98105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Joseph Stuppy Do, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072915081
PECOS Enrollment IDI20260204002640
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NALINI MALARKKAN MD
Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2728
MS. LINDA E EBLEN MA
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
King County (206) 987-6164
DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
King County (206) 987-2056
DR. LESLIE ANN DERVAN MD
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
King County (206) 987-0293
DR. INDI TREHAN MD
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000
MS. JENNIFER PATANO CNP
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
King County (206) 987-8949
MRS. SUSAN L HOLTZCLAW ARNP
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
King County (206) 987-5691
SHENG ZHOU MD
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Stuppy's NPI number?

The NPI number for Jacob Stuppy is 1063093094. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Jacob Stuppy located?

Jacob Stuppy practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2000.

What is Jacob Stuppy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jacob Stuppy enrolled in Medicare?

Yes. Jacob Stuppy is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Stuppy accept?

Health plans from Medica list Jacob Stuppy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Stuppy was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.