MR. WARREN J. STOFFEY PA-C
NPI 1538168570
Physician Assistant in Mcminnville, TN
NPI Status: Active since July 20, 2005
Contact Information
1559 SPARTA ST
MCMINNVILLE, TN
ZIP 37110
Phone: (931) 815-4280
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About WARREN STOFFEY
This page provides the complete NPI Profile along with additional information for Warren Stoffey, a primary care provider established in Mcminnville, Tennessee with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1538168570 assigned on July 2005. The practitioner's primary taxonomy code is 363A00000X with license number PA501 (TN). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1538168570
- Provider Name
- MR. WARREN J. STOFFEY PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1559 SPARTA ST MCMINNVILLE, TN 37110
- Location Phone
- (931) 815-4280
- Mailing Address
- 2703 CROWNE POINTE DR MURFREESBORO, TN 37130
- Mailing Phone
- (615) 898-0233
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2005
- Last Update Date
- 03-24-2010
- Code Navigator
A primary care provider (PCP) like Warren Stoffey 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.
- PA501
- License State
- TN
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
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 |
|---|---|---|---|
| P91413 | MEDICARE UPIN (02) | TN | |
| 36618561 | MEDICARE PIN (08) |
Medicare Participation & PECOS Enrollment Status
Warren Stoffey 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 37110 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.01
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* 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.
Reviews for MR. WARREN J. STOFFEY PA-C
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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 | 5 | 3 | 8 | 1 | 6 | 8 | 5 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 2 | 6 | 16 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 2 + 6 + 1 + 6 + 5 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1538168570 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 |
|---|---|---|---|
| 1093762148 | KENNETH L HOLBERT MD Individual | Emergency Medicine | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4000 |
| 1922047737 | MARK TIMOTHY WEEKS MD Individual | Emergency Medicine | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4000 |
| 1750321758 | HERBERT X SMITH MD Individual | Emergency Medicine | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4000 |
| 1417971771 | DR. THOMAS R WINSTON MD Individual | Emergency Medicine | 1559 SPARTA ST MCMINNVILLE, TN 37110 (865) 985-7212 |
| 1689860413 | MCMINNVILLE EMERGENCY SERVICES LLC Organization | Emergency Medicine | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4205 |
| 1235327040 | MRS. BRANDY NICHOLE COX RD, LDN Individual | Dietitian, Registered | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4146 |
| 1952573339 | WARREN EMERGENCY GROUP LLC Organization | Emergency Medicine | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4101 |
| 1932374402 | RIVER PARK HOSPITAL INC Organization | Psychiatric Unit | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4000 |
| 1629325790 | TENNESSEE EM-I MEDICAL SERVICES, PC Organization | Nurse Practitioner | 1559 SPARTA ST MCMINNVILLE, TN 37110 (931) 815-4000 |
| 1679517445 | SHEILA DENEEN PERTILLER MD Individual | Internal Medicine | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4212 |
| 1417915299 | RIVER PARK HOSPITAL LLC Organization | Rehabilitation Unit | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4000 |
| 1801844873 | RIVER PARK HOSPITAL LLC Organization | Medicare Defined Swing Bed Unit | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4000 |
| 1881642809 | RIVER PARK HOSPITAL LLC Organization | General Acute Care Hospital | 1559 SPARTA ST MC MINNVILLE, TN 37110 (931) 815-4000 |
| 1073834990 | NICHOLAS SCOTT ERHARD CRNA Individual | Nurse Anesthetist, Certified Registered | 1559 SPARTA ST MCMINNVILLE, TN 37110 (931) 815-4000 |
| 1891055935 | BARREN FORKS INPATIENT SERVICES PLLC Organization | Internal Medicine | 1559 SPARTA ST MCMINNVILLE, TN 37110 (931) 815-4000 |
| 1982951034 | CUMBERLAND CAVERNS EMERGENCY PHYSICIANS LLC Organization | Emergency Medicine | 1559 SPARTA ST MCMINNVILLE, TN 37110 (931) 815-4000 |
| 1821488123 | RIVER PARK HOSPITAL LLC Organization | Psychiatric Unit | 1559 SPARTA ST MCMINNVILLE, TN 37110 (931) 815-4000 |
| 1629441506 | RED EMBERS EMERGENCY PHYSICIANS, LLC Organization | Emergency Medicine | 1559 SPARTA ST MCMINNVILLE, TN 37110 (469) 401-2386 |
| 1902279771 | ATLAS EMERGENCY PHYSICIANS, PLLC Organization | Emergency Medicine | 1559 SPARTA ST MCMINNVILLE, TN 37110 (469) 401-2386 |
| 1881006658 | CORNERSTONE ANESTHESIA GROUP, PLLC Organization | Nurse Anesthetist, Certified Registered | 1559 SPARTA ST MCMINNVILLE, TN 37110 (913) 815-4210 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538168570, enumerated in the NPI registry as an "individual" on July 20, 2005
The provider is located at 1559 Sparta St Mcminnville, Tn 37110 and the phone number is (931) 815-4280
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. 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 $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $66.01 and an average copayment of 16.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 20, 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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