MATTHEW STARK MS, RDN, LDN
NPI 1073347852
Dietitian, Registered in Sycamore, IL

Q: What is Matthew Stark's NPI number?

The NPI number for Matthew Stark is 1073347852. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Q: What is Matthew Stark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Stark was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 26, 2024Accepts Medicare Assignment

2700 DEKALB AVE, SYCAMORE, IL 60178(815) 756-6174 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Matthew Stark Ms, Rdn, Ldn NPPES

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

MATTHEW STARK MS, RDN, LDN (NPI 1073347852) is an individual dietitian, registered in Sycamore, Illinois, licensed in Illinois (164005802) and active in the NPI registry since August 2024. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1073347852

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMATTHEW STARKCredential: MS, RDN, LDN

Location Address2700 DEKALB AVESycamore, IL 60178-3127

Mailing Address2700 Dekalb AveSycamore, IL 60178-3127

Phone(815) 756-6174

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1073347852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164005802

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2700 DEKALB AVE, Sycamore, IL 60178

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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 and accepts Medicare assignment

Matthew Stark Ms, Rdn, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032650031

PECOS Enrollment IDI20240918000701

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60178 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

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 2

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

LISA ANN BRANDT RD, LDN

Dietitian, Registered

2700 DEKALB AVE
SYCAMORE, IL 60178

Dekalb County (815) 756-6174

HY-VEE INC

Pharmacy (Community/Retail Pharmacy)

2700 DEKALB AVE
SYCAMORE, IL 60178

Dekalb County (815) 758-8995

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 Matthew Stark's NPI number?

The NPI number for Matthew Stark is 1073347852. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Matthew Stark located?

Matthew Stark practices at 2700 Dekalb Ave, Sycamore, IL 60178. The listed phone number is (815) 756-6174.

What is Matthew Stark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Matthew Stark enrolled in Medicare?

Yes. Matthew Stark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Stark was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.