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LAWRENCE JOSEPH STELMACH M.D.
NPI 1669479549
Family Medicine in Clifton, CO

Active since July 07, 2005Opted out of Medicare · through Oct 25, 2027
3225 I-70 BUSINESS LOOP, STE A4, CLIFTON, CO 81520(970) 434-6542(970) 434-3327 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence Joseph Stelmach M.d. NPPES

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

LAWRENCE JOSEPH STELMACH M.D. (NPI 1669479549) is an individual family medicine provider in Clifton, Colorado, licensed in Colorado (34002) and active in the NPI registry since July 2005. He has opted out of Medicare through October 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669479549
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLAWRENCE JOSEPH STELMACHCredential: M.D.
Location Address3225 I-70 BUSINESS LOOP, STE A4Clifton, CO 81520-7687
Mailing Address3225 I-70 Business Loop, Ste A4Clifton, CO 81520-7687 · (970) 434-6542 · Fax (970) 434-3327
Phone(970) 434-6542
Fax(970) 434-3327
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJune 25, 2010
✔ NPI 1669479549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 34002
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.
3225 I-70 BUSINESS LOOP, Clifton, CO 81520
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Other Identifiers 6

Other39677CO · Bcbs
Medicare UPING29036CO
Other2140494CO · Aetna- Hmo
Medicare PIN386628CO
Other841547572003CO · Rocky Mt Health Plans
Medicaid01340025CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lawrence Joseph Stelmach M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 25, 2017 through October 25, 2027.

Opt-Out Effective DateOctober 25, 2017
Opt-Out In Effect ThroughOctober 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81520 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 3

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$33.42 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
2 suppliers36 claims36 services$82.68 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.47 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 2

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

SUSAN STEADMAN SWEENEY M.D.
Family Medicine
3225 I-70 BUSINESS LOOP, STE A4
CLIFTON, CO 81520
Mesa County (970) 434-6542
WILLIAM DONALD HOISINGTON M.D.
Family Medicine
3225 I-70 BUSINESS LOOP, STE A4
CLIFTON, CO 81520
Mesa County (970) 434-6542

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 Lawrence Stelmach's NPI number?

The NPI number for Lawrence Stelmach is 1669479549. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Lawrence Stelmach located?

Lawrence Stelmach practices at 3225 I-70 Business Loop Ste A4, Clifton, CO 81520. The listed phone number is (970) 434-6542.

What is Lawrence Stelmach's specialty?

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

Is Lawrence Stelmach enrolled in Medicare?

No. Lawrence Stelmach has opted out of Medicare through October 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lawrence Stelmach was last updated on June 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.