RUSSELL FRANK STAHL MD
NPI 1760478242
Specialist in Myrtle Beach, SC

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
920 DOUG WHITE DR STE 420, MYRTLE BEACH, SC 29572(843) 497-7772(843) 848-7530 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Sep 26, 2024, Jan 26, 2022 and 2 more (5 updates tracked since 2016).

About Russell Frank Stahl Md NPPES

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

RUSSELL FRANK STAHL MD (NPI 1760478242) is an individual specialist in Myrtle Beach, South Carolina, licensed in South Carolina (39914) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1760478242
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRUSSELL FRANK STAHLCredential: MD
Location Address920 DOUG WHITE DR STE 420Myrtle Beach, SC 29572-4182
Mailing Address920 Doug White Dr Ste 420Myrtle Beach, SC 29572-4182 · (843) 497-7772 · Fax (843) 848-7530
Fax(843) 848-7530
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 21, 2005
Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1760478242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in SC · 39914 Licensed in GA · 97608 Licensed in PA · MD-033209E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
920 DOUG WHITE DR STE 420, Myrtle Beach, SC 29572

Other Identifiers 2

Medicaid0016335280009PA
Medicaid01633528PA

Accepted 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

Russell Frank Stahl 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 ID1850300690
PECOS Enrollment IDI20160916001363
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

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.

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.
13 services13 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Physician Assistant
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Physician Assistant
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Nurse Practitioner (Family)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Thoracic Surgery (Cardiothoracic Vascular Surgery)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Dietitian, Registered (Nutrition, Pediatric)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Thoracic Surgery (Cardiothoracic Vascular Surgery)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Thoracic Surgery (Cardiothoracic Vascular Surgery)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572

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 Russell Stahl's NPI number?

The NPI number for Russell Stahl is 1760478242. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Russell Stahl located?

Russell Stahl practices at 920 Doug White Dr Ste 420, Myrtle Beach, SC 29572. The listed phone number is (843) 497-7772.

What is Russell Stahl's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Russell Stahl enrolled in Medicare?

Yes. Russell Stahl 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.

What insurance does Russell Stahl accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Russell Stahl 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 Russell Stahl was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.