Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RICHARD L STUMACHER MD
NPI 1073575981
Internal Medicine - Pulmonary Disease in Southampton, NY

Active since April 05, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-8300 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2026, Oct 10, 2025 (2 updates tracked since 2025).

About Dr. Richard L Stumacher Md NPPES

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

DR. RICHARD L STUMACHER MD (NPI 1073575981) is an individual pulmonary disease provider in Southampton, New York, licensed in New York (207779) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073575981
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RICHARD L STUMACHERCredential: MD
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing Address48 Old Farm Rd SPleasantville, NY 10570-1508 · (917) 952-9786
Sole ProprietorYes
Enumeration DateApril 5, 2006
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1073575981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 207779
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 207779 (NY)
240 MEETING HOUSE LN, Southampton, NY 11968

Other Identifiers 1

Medicaid01860035NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard L Stumacher 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 Reassignments

3

Medicare enrollment records show Richard Stumacher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Cardiovascular Disease
400 EAST MAIN STREET
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • 76 clinicians in this Medicare group

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 11968 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%85 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968

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 Richard Stumacher's NPI number?

The NPI number for Richard Stumacher is 1073575981. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Richard Stumacher located?

Richard Stumacher practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-8300.

What is Richard Stumacher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Richard Stumacher enrolled in Medicare?

Yes. Richard Stumacher is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Stumacher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Stumacher reassigns Medicare benefits to 3 organizations: Stamford Health Medical Group Inc (Stamford, CT), North Shore-Lij Medical PC (Great Neck, NY) and Northern Westchester Hospital Association (Mount Kisco, NY). Each 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 Richard Stumacher'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 Richard Stumacher was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.