Doctor profile · Federal record
Dr. Paul Stelmach, M.D.
Pulmonary Disease Physician (CMS: Internal Medicine) · Critical Care Medicine (Internal Medicine) Physician · Wyomissing, PA
- NPI 1396765384
- Accepts Medicare
- MIPS 71.2 / 100 · 2023
- 43 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
2608 Keiser Blvd
Wyomissing, PA 196103333
(610) 929-5864
fax (610) 929-1528 - Additional location
-
1011 W Baltimore Pike
West Grove, PA 193909446
(106) 855-8646 - Additional location
-
13 Armand Hammer Blvd, Ste 300
Pottstown, PA 194645067
(610) 685-5864
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- March 25, 2021
- Year of graduation
- 1983 — 43 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Pennsylvania #MD033174E
- Medicaid
- PA #0013972330001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396765384. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
165
Distinct HCPCS
4
Medicare allowed
$18,353
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 71 | 38 | $113 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 59 | 39 | $76 | |
99291 |
Critical care, first 30-74 minutes | 22 | 12 | $206 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 12 | $101 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 93. This provider delivers 1.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
16
Patients
0
Total drug cost
$11,931
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 16 | 0 | $11,931 |
Frequently asked questions
What is Dr. Paul Stelmach's medical specialty?
Dr. Paul Stelmach practices Pulmonary Disease Physician in Wyomissing, PA.
Where does Dr. Paul Stelmach practice?
Dr. Paul Stelmach practices at 2608 Keiser Blvd, Wyomissing, PA 196103333. Office phone: 6109295864.
What is Dr. Paul Stelmach's NPI?
Dr. Paul Stelmach's National Provider Identifier (NPI) is 1396765384, issued by NPPES.
Does Dr. Paul Stelmach accept Medicare assignment?
Yes. Dr. Paul Stelmach accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Stelmach commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.