MONICA STALLWORTH-KOLIMAS M.D., M.A., MPH, MM
NPI 1609800374
Family Medicine in Hagerstown, MD

Q: What is Monica Stallworth-kolimas's NPI number?

The NPI number for Monica Stallworth-kolimas is 1609800374. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Monica Stallworth MD.

Q: What is Monica Stallworth-kolimas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

82.54/100

CMS Quality Rating

1500 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742(301) 745-4748(301) 745-4789 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2022, Apr 23, 2020 (2 updates tracked since 2020).

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About Monica Stallworth-kolimas M.d., M.a., Mph, Mm NPPES

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

MONICA STALLWORTH-KOLIMAS M.D., M.A., MPH, MM (NPI 1609800374) is an individual family medicine provider in Hagerstown, Maryland, licensed in Pennsylvania (MD468336) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Chambersburg.

NPPES Registry Identity

NPI1609800374

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMONICA STALLWORTH-KOLIMASCredential: M.D., M.A., MPH, MM

Location Address1500 PENNSYLVANIA AVEHagerstown, MD 21742-3112

Mailing Address1500 Pennsylvania AveHagerstown, MD 21742-3112 · (301) 745-4748 · Fax (301) 745-4789

Phone(301) 745-4748

Fax(301) 745-4789

Sole ProprietorYes

Medical School CMSMayo Medical SchoolGraduated 1980

Enumeration DateJuly 10, 2006

Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration

NPPES CertifiedDecember 20, 2022

✔ NPI 1609800374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in PA · MD468336✔ Licensed in MA · 216220

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedSpecial HospitalTaxonomy 284300000X · License D0052781 (MD)

1500 PENNSYLVANIA AVE, Hagerstown, MD 21742

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Other Names 1

Professional Name (2)Monica Stallworth Md

Secondary Practice Location 1

Location 1761 5th Ave Ste DChambersburg, PA 17201-4210 · Phone (717) 261-1269

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Monica Stallworth-kolimas M.d., M.a., Mph, Mm 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 ID5193756922

PECOS Enrollment IDI20200418000157

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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

266 services159 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

98 services98 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

79 services79 patients

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.

70 services56 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390138

Location501 East Main StWaynesboro, PA 17268 · Franklin County

Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

82.54/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.62

Promoting Interoperability

100

Improvement Activities

Cost

65.18

Other Providers at the Same Location NPPES 8

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

DR. ROSE MARIE CHAN M.D.

General Practice