Paul Stelmach, M.D.
NPI 1396765384 · Pulmonary Disease Physician · Wyomissing, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Stelmach, M.D. is a Pulmonary Disease Physician provider in Wyomissing, PA (NPI 1396765384).
Provider details
- NPI number
- 1396765384
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD033174E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
26 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 26 | $75 |
Typical Medicare-allowed amounts for these services range $75–$75 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 13 Armand Hammer BlvdSte 300Pottstown, PA 19464-5067Phone: (610) 685-5864Fax: (610) 929-1528
- 1011 W Baltimore PikeWest Grove, PA 19390-9446Phone: (106) 855-8646Fax: (610) 929-1528
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Frequently asked questions
- What is Paul Stelmach's NPI number?
- Paul Stelmach's National Provider Identifier (NPI) is 1396765384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Stelmach's specialty?
- Paul Stelmach is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Stelmach located?
- Paul Stelmach's practice location on file with NPPES is 2608 Keiser Blvd, Wyomissing, PA 19610-3333.
- What is Paul Stelmach's phone number?
- The practice phone number listed in the NPPES registry for Paul Stelmach is (610) 929-5864.
- Does Paul Stelmach accept Medicare?
- Paul Stelmach is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Stelmach's NPI active?
- Yes — Paul Stelmach's NPI (1396765384) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.