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DR. KEELI L STUMBO M.D.
NPI 1790780468
Obstetrics & Gynecology in Waco, TX

Active since June 17, 2005Opted out of Medicare · through Jul 1, 2027
1201 HEWITT DR STE 105B, WACO, TX 76712(254) 230-4225 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2022, Jun 8, 2020 (2 updates tracked since 2020).

About Dr. Keeli L Stumbo M.d. NPPES

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

DR. KEELI L STUMBO M.D. (NPI 1790780468) is an individual obstetrics & gynecology provider in Waco, Texas, licensed in Texas (L1469) and active in the NPI registry since June 2005. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790780468
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEELI L STUMBOCredential: M.D.
Location Address1201 HEWITT DR STE 105BWaco, TX 76712-8833
Mailing Address1201 Hewitt Dr Ste 105bWaco, TX 76712-8833 · (254) 230-4225
Phone(254) 230-4225
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1790780468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · L1469
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License L1469 (TX)
1201 HEWITT DR STE 105B, Waco, TX 76712
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Other Identifiers 1

Medicaid140921106TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Keeli L Stumbo 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 July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 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 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 Keeli Stumbo's NPI number?

The NPI number for Keeli Stumbo is 1790780468. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Keeli Stumbo located?

Keeli Stumbo practices at 1201 Hewitt Dr Ste 105B, Waco, TX 76712. The listed phone number is (254) 230-4225.

What is Keeli Stumbo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Keeli Stumbo enrolled in Medicare?

No. Keeli Stumbo has opted out of Medicare through July 1, 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 Keeli Stumbo was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.