Individual provider Active NPI

Adam Stefan Stibich, MD

  • Dermatology Physician
  • Hot Springs, AR
National Provider Identifier
1093715047
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E2886 Issued in AR
Practice address
3633 Central Ave
Ste N
Hot Springs, AR 71913-6404
Phone
(501) 623-6100
Fax
(501) 623-6187
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X E2886 AR
Dermatology Physician 207N00000X E2886 AR Primary

Addresses

Primary practice location

3633 Central Ave
Ste N
Hot Springs, AR 71913-6404

Mailing address

3633 Central Ave
Ste N
Hot Springs, AR 71913-6404
Phone (501) 623-6100

Other identifiers 4

IdentifierTypeStateIssuer
143844001MedicaidAR
E2886OtherARSTATE LICENSE
18885000000OtherARQUALCHOICE
7237284OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL thedermatologyofarkansas.ema.md Health Information Exchange (HIE) The Dermatology Clinic PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001334 AR Practitioner - Dermatology 7517931991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Clinic PAGroup PAC ID 4789663345, 9 clinicians

Practice addresses (Care Compare)

3633 Central Ave
Suite N
Hot Springs, AR 71913-6475
Phone (501) 623-6100

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision182
Removal of tissue1-10
Removal of skin lesions627
Removal of skin cancer432
Removal of nail tissue1-10
Removal or shaving of skin growth24
Skin biopsy188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2886ARMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Clinic PA Dermatology CurrentSince Feb 23, 2020 Accepting new patients
The Dermatology Clinic PA Dermatology CurrentSince Jul 1, 2001 Accepting new patients
Spring Creek Surgery Center LLC Past Accepting new patients

Locations

610 W Commerce Dr
Ste 3
Bryant, AR 72022

1710 Malvern Ave
Hot Springs, AR 71901
Phone (501) 623-6100

3633 Central Ave
Ste N
Hot Springs National Park, AR 71913
Phone (501) 623-6100

2100 N State Line Ave
Texarkana, AR 71854
Phone (870) 779-1111

103 Frankie Ln
White Hall, AR 71602
Phone (501) 397-2604

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1093715047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE",
            "address_2": "STE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136404",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE",
            "address_2": "STE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136404",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIBICH",
        "first_name": "ADAM",
        "middle_name": "STEFAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AR",
            "license": "E2886",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E2886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143844001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E2886",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18885000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7237284",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thedermatologyofarkansas.ema.md",
            "affiliation": "Y",
            "affiliationName": "The Dermatology Clinic PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3633 Central Ave",
            "address_2": "Ste N",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719136404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.