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

Q: 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.

Q: What is Kimberly Stump's specialty?

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

Q: 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 5 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.

Active since June 28, 2007PECOS Enrolled

900 STATE ST, SALEM, OR 97301(503) 370-6062 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Stump reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health And Human Services Commission

1,275 mi

Psychologist

4615 ALAMEDA AVENUE
El Paso, TX 79905

Reassigned Medicare billing, Texas enrollment
452 clinicians in this Medicare group

NPI 1346353232 (915) 532-2202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4

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

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.

Which organization bills Medicare for Kimberly Stump's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stump reassigns Medicare benefits to Health And Human Services Commission (El Paso, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Stump's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.