JULIE MARIA STARK MD
NPI 1902018641
Family Medicine in Fort Wayne, IN

Q: What is Julie Stark's NPI number?

The NPI number for Julie Stark is 1902018641. It was assigned to this individual provider in the NPPES registry on May 4, 2007. The provider is also known as Julie Maria Donnelly MD.

Q: What is Julie Stark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Julie Stark was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since May 04, 2007PECOS Enrolled

81.23/100

CMS Quality Rating

436 E WASHINGTON BLVD, FORT WAYNE, IN 46802(260) 209-7111(260) 222-2835 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Aug 12, 2024, Jul 26, 2022 and 3 more (6 updates tracked since 2020).

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About Julie Maria Stark Md NPPES

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

JULIE MARIA STARK MD (NPI 1902018641) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01073161A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Missouri, Columbia School Of Medicine (2005).

NPPES Registry Identity

NPI1902018641

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJULIE MARIA STARKCredential: MD

Location Address436 E WASHINGTON BLVDFort Wayne, IN 46802-3210

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 209-7111

Fax(260) 222-2835

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2005

Enumeration DateMay 4, 2007

Last NPPES UpdateAugust 19, 20246 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1902018641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01073161A✔ Licensed in IL · 036121864

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.

436 E WASHINGTON BLVD, Fort Wayne, IN 46802

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Other Names 1

Former Name (1)Julie Maria Donnelly Md

Secondary Practice Locations 3

Location 17333 W Jefferson BlvdFort Wayne, IN 46804 · Phone (260) 458-3830

Location 23475 So Alpine Rd, Physicians Immediate CareRockford, IL 61109-2604 · Phone (815) 874-8000 · Fax (815) 874-7525

Location 31306 E 7th St Ste AAuburn, IN 46706-2537 · Phone (260) 925-1255 · Fax (260) 925-1256

Other Identifiers 1

Medicaid201190690IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Maria Stark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597814350

PECOS Enrollment IDI20140108001530

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

81.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.95

Promoting Interoperability

100

Improvement Activities

Cost

68.49

Other Providers at the Same Location NPPES 8

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

KEEGAN WILLIAMS

Social Worker (Clinical)