JUSTIN M STAUFFER PA
NPI 1316176530
Physician Assistant in Allentown, PA
NPI Status: Active since July 09, 2009
Contact Information
1200 S CEDAR CREST BLVD
ALLENTOWN, PA
ZIP 18103
Phone: (610) 402-8111
Fax: (610) 402-1698
- Individual
- Male
- Physician Assistant
- PECOS Enrolled
About JUSTIN STAUFFER
This page provides the complete NPI Profile along with additional information for Justin Stauffer, a primary care provider established in Allentown, Pennsylvania with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1316176530 assigned on July 2009. The practitioner's primary taxonomy code is 363A00000X with license number MA053921 (PA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1316176530
- Provider Name
- JUSTIN M STAUFFER PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103
- Location Phone
- (610) 402-8111
- Location Fax
- (610) 402-1698
- Mailing Address
- PO BOX 783311 PHILADELPHIA, PA 19178
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-09-2009
- Last Update Date
- 06-13-2024
- Code Navigator
A primary care provider (PCP) like Justin Stauffer sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- MA053921
- License State
- PA
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
Justin Stauffer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 11 times for 11 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 96 times for 96 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 71 times for 70 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 18103 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 1 | 7 | 6 | 5 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 2 | 7 | 12 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 2 + 7 + 1 + 2 + 5 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1316176530 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528057429 | THOMAS M. MCLOUGHLIN MD Individual | Anesthesiology | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8000 |
| 1811951304 | DR. THOMAS E LEET M.D. Individual | Specialist | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8080 |
| 1639133705 | DR. THOMAS F FITZSIMONS M.D. Individual | Specialist | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8080 |
| 1598729568 | DR. ROBERT KRICUN M.D. Individual | Specialist | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8080 |
| 1366406241 | DR. ELLIOT I SHOEMAKER M.D. Individual | Specialist | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8080 |
| 1700842184 | DR. ZWU-SHIN LIN M.D. Individual | Specialist | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8088 |
| 1831148121 | JASON C. MORGAN MD Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1922057405 | JANET SINGER ZUSI RD Individual | Dietitian, Registered | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8609 |
| 1922045269 | DANNY LIAW M.D. Individual | Internal Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8022 |
| 1932144052 | LISA ANN COMPERATORE MD Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1235167131 | VIVIAN KANE MD Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1780612689 | RONALD LUTZ MD Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1437187408 | MICHAEL WEINSTOCK MD Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1386672350 | KEVIN ROTH DO Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1033147939 | ALEX ROSENAU DO Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1922037217 | BRIAN NESTER DO Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1962431163 | RYAN TENZER MD Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
| 1366473704 | DR. CHRISTY ANN SALVAGGIO MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-9750 |
| 1366474900 | CHRIS MORABITO MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-7632 |
| 1619909348 | JOSEPH FASSL MD Individual | Emergency Medicine | 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 (610) 402-8111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316176530, enumerated in the NPI registry as an "individual" on July 09, 2009
The provider is located at 1200 S Cedar Crest Blvd Allentown, Pa 18103 and the phone number is (610) 402-8111
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $68.36 and an average copayment of 17.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity and Emergency department visit for problem of high severity.
This NPI record was last updated on July 09, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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