DR. RENEE MARIE STULLICH MD
NPI 1922685429
Obstetrics & Gynecology in Charlotte, NC

Active since March 29, 2021PECOS Enrolled
MYERS PARK CLINIC OB/GYN, 1350 S. KINGS DR., CHARLOTTE, NC 28207(704) 446-1544(704) 446-1551 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Renee Marie Stullich Md NPPES

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

DR. RENEE MARIE STULLICH MD (NPI 1922685429) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (302840) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922685429
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RENEE MARIE STULLICHCredential: MD
Location AddressMYERS PARK CLINIC OB/GYN, 1350 S. KINGS DR.Charlotte, NC 28207
Mailing Address823 S Church St Apt 4307Greenville, SC 29601-4744
Fax(704) 446-1551
Sole ProprietorNo
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 25, 2021
NPI 1922685429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 302840
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.

MYERS PARK CLINIC OB/GYN, Charlotte, NC 28207

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Renee Marie Stullich 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

The NPI number assigned to this healthcare provider is 1922685429, enumerated as an "individual" on March 29, 2021.

The provider is located at MYERS PARK CLINIC OB/GYN 1350 S. KINGS DR. CHARLOTTE, NC 28207 and the phone number is (704) 446-1544.

Obstetrics & Gynecology with taxonomy code 207V00000X.