Individual provider Active NPI

Ralph Spencer Stoetzel III, M.D.

  • Orthopaedic Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1952415267
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
94939 Issued in FL
Practice address
1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone
(850) 878-2549
Fax
(850) 878-9334
NPI assigned
Aug 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 94939 FL Primary

Addresses

Primary practice location

1911 Miccosukee Rd
Tallahassee, FL 32308-5321

Mailing address

1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone (850) 878-2549

Other identifiers 3

IdentifierTypeStateIssuer
14962OtherFLBLUE CROSS/BLUE SHIELD
279019000MedicaidFL
I60419OtherUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071108000199 FL Practitioner - Orthopedic Surgery 6800892985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Fla Sports Medicine and Orthopaedic Center PAGroup PAC ID 8729013040, 5 clinicians

Practice addresses (Care Compare)

1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone (850) 878-2549

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94939FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N Fla Sports Medicine and Orthopaedic Center PA Orthopaedic Surgery CurrentSince Aug 6, 2007 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Orthopaedic Associates, PA Orthopaedic Surgery Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients

Locations

1911 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 877-8539

Organizations & group practices 4

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

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952415267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085321",
            "telephone_number": "850-878-2549",
            "fax_number": "850-878-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085321",
            "telephone_number": "850-878-2549",
            "fax_number": "850-878-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOETZEL",
        "first_name": "RALPH",
        "middle_name": "SPENCER",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "94939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "14962",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279019000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I60419",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.