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PHILIP KONRAD STARK
NPI 1861197303
Family Medicine in Lincoln, NE

Active since April 04, 2023PECOS Enrolled
4600 VALLEY RD, LINCOLN, NE 68510(402) 483-4591(402) 483-5633 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2025, Apr 4, 2023 (2 updates tracked since 2023).

About Philip Konrad Stark NPPES

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

PHILIP KONRAD STARK (NPI 1861197303) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (36579) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2023).

NPPES Registry Identity

NPI1861197303
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP KONRAD STARK
Location Address4600 VALLEY RDLincoln, NE 68510-4855
Mailing Address4600 Valley RdLincoln, NE 68510-4855 · (402) 483-4591 · Fax (402) 483-5633
Phone(402) 483-4591
Fax(402) 483-5633
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1861197303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 36579
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.
4600 VALLEY RD, Lincoln, NE 68510
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Blue Cross and Blue Shield of Nebraska and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Konrad Stark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234583600
PECOS Enrollment IDI20260818003720
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 Philip Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lincoln Medical Education Partnership
Same address
Family Medicine
4600 VALLEY RD, STE 200
Lincoln, NE 68510
  • Reassigned Medicare billing, Nebraska enrollment
  • 17 clinicians in this Medicare group
NPI 1891703708 (402) 483-4571

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 17

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

LINCOLN MEDICAL EDUCATION PARTNERSHIP
Counselor (Addiction (Substance Use Disorder))
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4581
JACK M LIONBERGER MD
Internal Medicine
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4571
TIFFANY BRAUN
Family Medicine
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4571
WADE FORNANDER M.D.
Family Medicine
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4571
MS. KARLA NICHOLE WIEDEL MA LIMHP LADC
Counselor (Mental Health)
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (408) 488-6511
MERVEILLE MUNDEMBO TSHITA
Family Medicine
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4571
JOAN MARIE GEORGE PA
Physician Assistant (Medical)
4600 VALLEY RD, SIUTE 200
LINCOLN, NE 68510
Lancaster County (402) 483-4571
JESSICA HECKMAN MD
Family Medicine
4600 VALLEY RD, STE 200
LINCOLN, NE 68510
Lancaster County (402) 483-4571

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 Philip Stark's NPI number?

The NPI number for Philip Stark is 1861197303. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Philip Stark located?

Philip Stark practices at 4600 Valley Rd, Lincoln, NE 68510. The listed phone number is (402) 483-4591.

What is Philip Stark's specialty?

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

Is Philip Stark enrolled in Medicare?

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

Which organization bills Medicare for Philip Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Stark reassigns Medicare benefits to Lincoln Medical Education Partnership (Lincoln, NE). 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 Philip Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Stark accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Philip 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.

Is Philip Stark affiliated with any hospitals?

According to CMS data, Philip Stark is affiliated with Bryan Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Stark was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.