Individual provider Active NPI

James E Stottlemyer II, O.D.

  • Optometrist
  • Elkton, MD
National Provider Identifier
1295737419
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1546 Issued in MD
Practice address
360 E Pulaski Hwy Ste 1a
Elkton, MD 21921-6592
Phone
(410) 939-6477
Fax
(410) 939-6555
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1546 MD Primary

Addresses

Primary practice location

360 E Pulaski Hwy Ste 1a
Elkton, MD 21921-6592

Mailing address

2023 Pulaski Hwy
Havre de Grace, MD 21078-2137
Phone (410) 939-6477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.stottlemyer@direct.speyecare.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000836 MD Practitioner - Optometry 8022294446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 401
Bel Air, MD 21014-4381
Phone (443) 643-4500

Hospital & facility affiliations

  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1546MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seidenberg Protzko Eye Associates CurrentSince Mar 8, 1999 Accepting new patients
Seidenberg Protzko Eye Associates CurrentSince Mar 8, 1999 Accepting new patients
The Retina Group of Washington, PLLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Optometrist Current Accepting new patients
The Retina Group of Washington, PLLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

2002 Medical Pkwy
Ste 450
Annapolis, MD 21401
Phone (410) 224-6680

520 Upper Chesapeake Dr
Ste 401
Bel Air, MD 21014
Phone (410) 569-5103

711 Washington Ave
Ste 3
Chestertown, MD 21620
Phone (410) 778-1150

711 Washington Ave
Chestertown, MD 21620
Phone (410) 778-4000

360 E Pulaski Hwy
Ste 1A
Elkton, MD 21921
Phone (410) 620-3600

360 E Pulaski Hwy
Ste 1
Elkton, MD 21921
Phone (410) 620-3600

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

2023 Pulaski Hwy
Hvre de Grace, MD 21078
Phone (410) 939-6477

Interoperability endpoints

  • Direct secure messaging: jstottlemyer@arcnj.intellechartdirect.net

Organizations & group practices 5

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 1

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1295737419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E PULASKI HWY STE 1A",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216592",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTTLEMYER",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.stottlemyer@direct.speyecare.nextgenshare.com",
            "affiliation": "N",
            "address_1": "360 E Pulaski Hwy Ste 1A",
            "city": "Elkton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "219216592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.