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DR. FREDERICK WAYNE STARK DDS
NPI 1699901595
Dentist - General Practice in Derby, KS

Active since June 05, 2009PECOS Enrolled
1710 E MADISON AVE STE 600, DERBY, KS 67037(316) 788-4000 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frederick Wayne Stark Dds NPPES

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

DR. FREDERICK WAYNE STARK DDS (NPI 1699901595) is an individual general practice provider in Derby, Kansas, licensed in Kansas (60680) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699901595
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FREDERICK WAYNE STARKCredential: DDS
Location Address1710 E MADISON AVE STE 600Derby, KS 67037-2285
Mailing Address700 N Maple StMcpherson, KS 67460-3325 · (620) 241-5000
Phone(316) 788-4000
Sole ProprietorNo
Enumeration DateJune 5, 2009
Last NPPES UpdateJanuary 3, 2019
✔ NPI 1699901595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 60680
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1710 E MADISON AVE STE 600, Derby, KS 67037
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Frederick Wayne Stark Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 67037 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Frederick Stark's NPI number?

The NPI number for Frederick Stark is 1699901595. It was assigned to this individual provider in the NPPES registry on June 5, 2009.

Where is Frederick Stark located?

Frederick Stark practices at 1710 E Madison Ave Ste 600, Derby, KS 67037. The listed phone number is (316) 788-4000.

What is Frederick Stark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Frederick Stark enrolled in Medicare?

Yes. Frederick Stark is registered in the Medicare PECOS enrollment system.

What insurance does Frederick Stark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Frederick Stark 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 Frederick Stark was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.