PATRICK J STUMBRAS PSYD
NPI 1326473240
Psychologist - Clinical in De Pere, WI

Active since September 10, 2013PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3860 MONROE RD, DE PERE, WI 54115(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, Mar 18, 2020 (2 updates tracked since 2020).

About Patrick J Stumbras Psyd NPPES

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

PATRICK J STUMBRAS PSYD (NPI 1326473240) is an individual clinical provider in De Pere, Wisconsin, licensed in Wisconsin (3744-57) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326473240
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NamePATRICK J STUMBRASCredential: PSYD
Location Address3860 MONROE RDDe Pere, WI 54115-8399
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 10, 2013
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
NPI 1326473240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WI · 3744-57
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 357-228 (WI)
3860 MONROE RD, De Pere, WI 54115

Secondary Practice Locations 2

Location 13900 W Brown Deer RdBrown Deer, WI 53209-1220 · Phone (414) 540-2170 · Fax (414) 540-2171
Location 23860 Monroe RdDE Pere, WI 54115-8399 · Phone (920) 496-4700

Accepted Insurance

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

Patrick J Stumbras Psyd 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 ID5496179103
PECOS Enrollment IDI20200728000106
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 54115 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Physical Therapist
3860 MONROE RD
DE PERE, WI 54115
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Counselor (Professional)
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115

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 Patrick Stumbras's NPI number?

The NPI number for Patrick Stumbras is 1326473240. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Patrick Stumbras located?

Patrick Stumbras practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is Patrick Stumbras's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Patrick Stumbras enrolled in Medicare?

Yes. Patrick Stumbras 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.

What insurance does Patrick Stumbras accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and Security Health Plan list Patrick Stumbras 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 Patrick Stumbras was last updated on August 27, 2020. 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.