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DR. KIMBERLY SUSAN STUMP MD
NPI 1063619518
Family Medicine in Salem, OR

Active since June 28, 2007PECOS Enrolled

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Susan Stump Md NPPES

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

DR. KIMBERLY SUSAN STUMP MD (NPI 1063619518) is an individual family medicine provider in Salem, Oregon, licensed in Oregon (MD194544) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063619518
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY SUSAN STUMPCredential: MD
Location Address900 STATE STSalem, OR 97301-3922
Mailing Address5536 Salal St SeSalem, OR 97306-2184 · (214) 418-3699
Phone(503) 370-6062
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1063619518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD194544✔ Licensed in TX · P1496
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RT1676 (NH)
900 STATE ST, Salem, OR 97301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Susan Stump Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97301 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims388 services$5.77 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,870 services$0.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MR. SHANE C. WIBEL ATC
Specialist
900 STATE ST, WILLAMETTE UNIVERSITY ATHLETICS
SALEM, OR 97301
Marion County (503) 370-6672
WILLAMETTE UNIVERSITY
Clinic/Center (Student Health)
900 STATE ST
SALEM, OR 97301
Marion County (503) 370-6062
MICHAEL S HMURA MSPT
Physical Therapist
900 STATE ST
SALEM, OR 97301
Marion County (503) 838-4244
BARBARA BLACKBURN HILL RN,MS,ANP
Nurse Practitioner (Adult Health)
900 STATE ST
SALEM, OR 97301
Marion County (503) 370-6062
PROF. PETER ANTHONY HARMER ATC
Specialist/Technologist (Athletic Trainer)
900 STATE ST, EXERCISE SCIENCE - SPORTS MEDICINE
SALEM, OR 97301
Marion County (503) 370-6470

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 Kimberly Stump's NPI number?

The NPI number for Kimberly Stump is 1063619518. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Kimberly Stump located?

Kimberly Stump practices at 900 State St, Salem, OR 97301. The listed phone number is (503) 370-6062.

What is Kimberly Stump's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Stump enrolled in Medicare?

Yes. Kimberly Stump is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Stump was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.