JOHN STANLEY M.D.
NPI 1326041187
Radiology - Diagnostic Radiology in Clinton Twp, MI
NPI Status: Active since May 24, 2005
Contact Information
36561 HARPER AVE
CLINTON TWP, MI
ZIP 48035
Phone: (586) 791-0620
Fax: (586) 791-5565
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- PECOS Enrolled
About JOHN STANLEY
This page provides the complete NPI Profile along with additional information for John Stanley, a provider established in Clinton Twp, Michigan with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1326041187 assigned on May 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 4301054376 (MI). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1326041187
- Provider Name
- JOHN STANLEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 36561 HARPER AVE CLINTON TWP, MI 48035
- Location Phone
- (586) 791-0620
- Location Fax
- (586) 791-5565
- Mailing Address
- 36561 HARPER AVE CLINTON TWP, MI 48035
- Mailing Phone
- (586) 791-0620
- Mailing Fax
- (586) 791-5565
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-24-2005
- Last Update Date
- 12-27-2012
- Code Navigator
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301054376
- License State
- MI
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Bronze - Trinity Health East Network - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Southeast Michigan Network - HMO
- MyPriority Standard Gold Trinity Health East Network - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Southeast Michigan Network - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Standard Silver - Trinity Health East Network - HMO
- MyPriority Value Bronze - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F86678 | MEDICARE UPIN (02) | ||
| 4301054376 | OTHER (01) | MI | STATE LICENSE |
Medicare Participation & PECOS Enrollment Status
John Stanley 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
Physician 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 48035 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* 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 | 2 | 6 | 0 | 4 | 1 | 1 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 0 | 4 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 0 + 4 + 2 + 1 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1326041187 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992708879 | JAMES COLE MD Individual | Radiology (Diagnostic Radiology) | 36561 HARPER AVE CLINTON TOWNSHIP, MI 48035 (586) 791-0620 |
| 1023011871 | ELIZABETH SCHMITT M.D. Individual | Radiology (Diagnostic Radiology) | 36561 HARPER AVE CLINTON TWP, MI 48035 (586) 791-0620 |
| 1750384517 | LAWRENCE LAWSON M.D. Individual | Radiology (Diagnostic Radiology) | 36561 HARPER AVE CLINTON TWP, MI 48035 (586) 791-0620 |
| 1861495590 | LEON DUNN M.D. Individual | Radiology (Diagnostic Radiology) | 36561 HARPER AVE CLINTON TWP, MI 48035 (586) 791-0620 |
| 1497720809 | DR. RICARDO CHALELA M.D. Individual | Radiology (Diagnostic Radiology) | 36561 HARPER AVE CLINTON TWP, MI 48035 (586) 791-0620 |
| 1174631972 | HARPER METRO CT PARTNERSHIP Organization | Radiology (Diagnostic Radiology) | 36561 HARPER AVE CLINTON TWP, MI 48035 (586) 791-0620 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326041187, enumerated in the NPI registry as an "individual" on May 24, 2005
The provider is located at 36561 Harper Ave Clinton Twp, Mi 48035 and the phone number is (586) 791-0620
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Priority Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 24, 2005. 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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