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MARK STEPHEN STUMPHY D.M.D.
NPI 1245607209
Dentist - General Practice in Davenport, IA

Active since August 26, 2015PECOS Enrolled
125 SCOTT ST, DAVENPORT, IA 52801(563) 336-3000(563) 336-3229 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Stephen Stumphy D.m.d. NPPES

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

MARK STEPHEN STUMPHY D.M.D. (NPI 1245607209) is an individual general practice provider in Davenport, Iowa, licensed in Illinois (019030322) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Univ Of Illinois At Chicago College Of Dentistry (2015).

NPPES Registry Identity

NPI1245607209
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK STEPHEN STUMPHYCredential: D.M.D.
Location Address125 SCOTT STDavenport, IA 52801-1130
Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 336-3125
Phone(563) 336-3000
Fax(563) 336-3229
Sole ProprietorNo
Medical School CMSUniv Of Illinois At Chicago College Of DentistryGraduated 2015
Enumeration DateAugust 26, 2015
Last NPPES UpdateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1245607209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019030322
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
125 SCOTT ST, Davenport, IA 52801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Stephen Stumphy D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244535052
PECOS Enrollment IDI20260310003659
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 Mark Stumphy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Care, Inc.
Same address
Dental
125 SCOTT ST
Davenport, IA 52801
  • Reassigned Medicare billing, Iowa and Illinois enrollments
  • Also billed through NPI 1932193224 (Illinois)
  • 80 clinicians in this Medicare group
NPI 1598759029 (563) 336-3222

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 52801 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 9

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

KYLIE RESNICK DDS
Dentist (General Practice)
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3000
KELSEY DEVER DDS
Dentist (General Practice)
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3000
CHRISTOPHER ZENG-YUE LIU
Dentist (General Practice)
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3000
DEMI HENDRICKS DDS
Dentist (General Practice)
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3000
DR. ANUPAM SINGH D.M.D.
Dentist (General Practice)
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3000
LYNN M BRENEMAN-WISONG DDS
Dentist (General Practice)
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3221
DR. TINA M KAO-REASONER D.D.S.
Dentist
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3222
COMMUNITY HEALTH CARE, INC.
Clinic/Center (Dental)
125 SCOTT ST
DAVENPORT, IA 52801
Scott County (563) 336-3222

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 Mark Stumphy's NPI number?

The NPI number for Mark Stumphy is 1245607209. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Where is Mark Stumphy located?

Mark Stumphy practices at 125 Scott St, Davenport, IA 52801. The listed phone number is (563) 336-3000.

What is Mark Stumphy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Stumphy enrolled in Medicare?

Yes. Mark Stumphy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Stumphy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Stumphy reassigns Medicare benefits to Community Health Care, Inc. (Davenport, IA). 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 Mark Stumphy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Stumphy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 19 other insurers list Mark Stumphy 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 Mark Stumphy was last updated on September 20, 2022. 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.