FRED STUTMAN MD
NPI 1780660316
Family Medicine in Phila, PA

Active since December 15, 2005PECOS Enrolled
3501 NEWBERRY RD, PHILA, PA 19154(215) 632-1400(215) 632-2176 Get Directions Write a Review

NPPES record last updated: October 21, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fred Stutman Md NPPES

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

FRED STUTMAN MD (NPI 1780660316) is an individual family medicine provider in Phila, Pennsylvania, licensed in Pennsylvania (MD007124E) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780660316
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRED STUTMANCredential: MD
Location Address3501 NEWBERRY RDPhila, PA 19154-2608
Mailing AddressPo Box 820933Phila, PA 19182-0933 · (215) 632-1400 · Fax (215) 632-2176
Fax(215) 632-2176
Sole ProprietorNo
Enumeration DateDecember 15, 2005
Last NPPES UpdateOctober 21, 2013
✔ NPI 1780660316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD007124E
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.
3501 NEWBERRY RD, Phila, PA 19154

Other Identifiers 13

Other597586PA · Medicare Group
Medicare UPINB32733
Other0058304000PA · Independence Blue Cross
Medicare PIN016618PA
Other714PA · Bravo Health
OtherP00208191PA · Railroad Medicare
Other4076190Aetna Ppo
OtherP495461PA · Oxford
Other016618PA · Highmark Blue Shield
Medicaid000612309PA
Other0047315PA · Aetna Hmo
Other1081468PA · Keystone Mercy Health
Other2Y0397PA · Health Net

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fred Stutman Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Fred Stutman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3501 NEWBERRY RD
Philadelphia, PA 19154
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19154 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 3

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

Home Health
3501 NEWBERRY RD
PHILADELPHIA, PA 19154
Family Medicine
3501 NEWBERRY RD
PHILADELPHIA, PA 19154
Home Health
3501 NEWBERRY RD
PHILADELPHIA, PA 19154

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 Fred Stutman's NPI number?

The NPI number for Fred Stutman is 1780660316. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Fred Stutman located?

Fred Stutman practices at 3501 Newberry Rd, Phila, PA 19154. The listed phone number is (215) 632-1400.

What is Fred Stutman's specialty?

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

Is Fred Stutman enrolled in Medicare?

Yes. Fred Stutman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fred Stutman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Stutman reassigns Medicare benefits to Temple Physicians Inc. (Philadelphia, PA). The 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 Fred Stutman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fred Stutman was last updated on October 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.