DR. TRAVIS JACK STARK D.P.M.
NPI 1487949384
Podiatrist - Foot & Ankle Surgery in Yuma, AZ

Q: What is Travis Stark's NPI number?

The NPI number for Travis Stark is 1487949384. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Travis Stark's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Travis Stark was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 20, 2011PECOS EnrolledAccepts Medicare Assignment

2503 S AVENUE A STE 2, YUMA, AZ 85364(928) 783-0092 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Jul 5, 2023, Jan 31, 2023 (3 updates tracked since 2023).

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About Dr. Travis Jack Stark D.p.m. NPPES

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

DR. TRAVIS JACK STARK D.P.M. (NPI 1487949384) is an individual foot & ankle surgery provider in Yuma, Arizona, licensed in Arizona (000983) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487949384

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. TRAVIS JACK STARKCredential: D.P.M.

Location Address2503 S AVENUE A STE 2Yuma, AZ 85364-7174

Mailing AddressPo Box 669Yuma, AZ 85366-2329 · (928) 247-6516 · Fax (928) 366-1075

Phone(928) 783-0092

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 20, 2011

Last NPPES UpdateJune 5, 20243 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1487949384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in AZ · 000983✔ Licensed in OK · 311✔ Licensed in MI · 5315051097

2503 S AVENUE A STE 2, Yuma, AZ 85364

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Secondary Practice Locations 2

Location 111518 N Frontage RdYuma, AZ 85367-8994 · Phone (928) 342-6500

Location 21453 North Main Street, Suite 3San Luis, AZ 85349 · Phone (928) 315-6801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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

Dr. Travis Jack Stark D.p.m. 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 ID749592814

PECOS Enrollment IDI20221201001425

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

73 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

30 services22 patients

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Other Providers at the Same Location NPPES 5

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

DR. TERRY KULIA STEVENSON M.D.

Family Medicine (Adult Medicine)