GERALD S STIPANUK MD
NPI 1669459905
Internal Medicine in Blytheville, AR

Q: What is Gerald Stipanuk's NPI number?

The NPI number for Gerald Stipanuk is 1669459905. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Gerald Stipanuk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Stipanuk was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 28, 2005PECOS EnrolledAccepts Medicare Assignment

1520 N DIVISION ST, BLYTHEVILLE, AR 72315(731) 235-0555(731) 235-0559 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2026, Jul 12, 2024, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Gerald S Stipanuk Md NPPES

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

GERALD S STIPANUK MD (NPI 1669459905) is an individual internal medicine provider in Blytheville, Arkansas, licensed in Arkansas (E-7145) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jonesboro, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1977).

NPPES Registry Identity

NPI1669459905

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGERALD S STIPANUKCredential: MD

Location Address1520 N DIVISION STBlytheville, AR 72315-1448

Mailing Address801 S Meridian StGreenfield, TN 38230-2104 · (731) 235-0555 · Fax (731) 235-0559

Phone(731) 235-0555

Fax(731) 235-0559

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1977

Enumeration DateDecember 28, 2005

Last NPPES UpdateMarch 17, 20185 updates tracked since enumeration

✔ NPI 1669459905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AR · E-7145

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License E-7145 (AR)

1520 N DIVISION ST, Blytheville, AR 72315

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Secondary Practice Location 1

Location 11201 Fleming AveJonesboro, AR 72401-4311 · Phone (870) 201-0534

Other Identifiers 3

Other0000006613645KY · Bcbs Ky

Other4217156TN · Bcbs Tn

Medicaid1511734TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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 and accepts Medicare assignment

Gerald S Stipanuk Md 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 ID1951343169

PECOS Enrollment IDI20110921000289

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

Medicare enrollment records show Gerald Stipanuk reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Rehab Group LLP

44 mi

Family Medicine

1201 FLEMING
Jonesboro, AR 72401

Reassigned Medicare billing, Arkansas enrollment
14 clinicians in this Medicare group

NPI 1669856704 (870) 933-5174

Go MD Usa LLC

61 mi

Primary Care

3385 AIRWAYS BLVD STE 201
Memphis, TN 38116

Reassigned Medicare billing, Tennessee enrollment

NPI 1467276550 (833) 546-6387

Optimal Care Services, Inc

61 mi

Rehabilitation, Substance Use Disorder

3385 AIRWAYS BLVD STE 123
Memphis, TN 38116

Reassigned Medicare billing, Tennessee enrollment

NPI 1831061738 (480) 904-0588

Compliance & Screening Services Css

245 mi

Occupational Medicine

525 W FAULKNER ST
El Dorado, AR 71730

Reassigned Medicare billing, Arkansas enrollment
2 clinicians in this Medicare group

NPI 1033545561 (870) 639-3910

Provision Health Care LLC

245 mi

Family

525 W FAULKNER ST
El Dorado, AR 71730

Reassigned Medicare billing, Arkansas enrollment
2 clinicians in this Medicare group

NPI 1134090061 (870) 337-2009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

4,270 services417 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

382 services355 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

349 services316 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

159 services73 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72315 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims6,141 services$0.85 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers49 claims49 services$62.67 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier17 claims17 services$10.29 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

7 suppliers36 claims36 services$69.10 avg. paid by Medicare

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

4 suppliers62 claims62 services$10.35 avg. paid by Medicare

Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each E0168

DME-Other DME · category DE000N

1 supplier20 claims20 services$11.60 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

2 suppliers12 claims12 services$16.31 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

6 suppliers19 claims19 services$72.19 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

2 suppliers36 claims36 services$64.13 avg. paid by Medicare

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303

DME-Hospital Beds · category DB000N

1 supplier13 claims13 services$149.49 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers88 claims88 services$19.09 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers25 claims25 services$899.93 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

4 suppliers18 claims18 services$56.79 avg. paid by Medicare

Heel loop/holder, any type, with or without ankle strap, each E0951

DME-Wheelchairs · category DD000N

1 supplier26 claims51 services$12.02 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

3 suppliers40 claims79 services$31.94 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

3 suppliers28 claims56 services$2.85 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.44 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier16 claims16 services$171.84 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers91 claims91 services$101.50 avg. paid by Medicare

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches E2201

DME-Wheelchairs · category DD021N

2 suppliers11 claims11 services$300.48 avg. paid by Medicare

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches E2201

DME-Wheelchairs · category DD021N

3 suppliers18 claims18 services$28.06 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

4 suppliers13 claims13 services$40.72 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

8 suppliers153 claims153 services$27.12 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier142 claims142 services$37.92 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

3 suppliers61 claims61 services$39.06 avg. paid by Medicare

Extra heavy duty wheelchair K0007

DME-Wheelchairs · category DD000N

2 suppliers34 claims34 services$88.18 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

6 suppliers70 claims70 services$9.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MISSISSIPPI COUNTY HOSPITAL SYSTEM

General Acute Care Hospital

1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7445

GREAT RIVER MEDICAL CENTER LLC

Family Medicine

1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7300

SMC REGIONAL MEDICAL CENTER LLC

Clinic/Center

1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7300

GREAT RIVER MEDICAL CENTER LLC

General Acute Care Hospital

1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7466

MISSISSIPPI COUNTY HOSPITAL SYSTEM

Psychiatric Unit

1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7460

MICHAEL EUGENE JOHNSON MD

Emergency Medicine

1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7460

DUNNE MEDICAL LTD

Radiology (Diagnostic Radiology)

1520 N DIVISION ST
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7300

MISSISSIPPI COUNTY HOSPITAL SYSTEM

Anesthesiology

1520 N DIVISION ST, ANESTHESIA DEPARTMENT
BLYTHEVILLE, AR 72315

Mississippi County (870) 838-7300

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 Gerald Stipanuk's NPI number?

The NPI number for Gerald Stipanuk is 1669459905. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Gerald Stipanuk located?

Gerald Stipanuk practices at 1520 N Division St, Blytheville, AR 72315. The listed phone number is (731) 235-0555.

What is Gerald Stipanuk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerald Stipanuk enrolled in Medicare?

Yes. Gerald Stipanuk 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.

Which organizations bill Medicare for Gerald Stipanuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Stipanuk reassigns Medicare benefits to 5 organizations: Medical Rehab Group LLP (Jonesboro, AR), Go MD Usa LLC (Memphis, TN), Optimal Care Services, Inc (Memphis, TN), Compliance & Screening Services Css (El Dorado, AR) and Provision Health Care LLC (El Dorado, AR). 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 Gerald Stipanuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerald Stipanuk accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Gerald Stipanuk 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 Gerald Stipanuk was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.