STUART STILES MD
NPI 1750374518
Emergency Medicine in Johnson City, NY


Quality Rating: 94.92 out of 100 score

NPI Status: Active since August 26, 2005

Contact Information

33-57 HARRISON ST
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 763-6412
Fax: (607) 763-5854

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  • Individual
  • Male
  • Emergency Medicine
  • PECOS Enrolled

About STUART STILES

This page provides the complete NPI Profile along with additional information for Stuart Stiles, a provider established in Johnson City, New York with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1750374518 assigned on August 2005. The practitioner's primary taxonomy code is 207P00000X with license number 154147 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1750374518
Provider Name
STUART STILES MD
Gender
Male
Entity Type
Individual
Location Address
33-57 HARRISON ST JOHNSON CITY, NY 13790
Location Phone
(607) 763-6412
Location Fax
(607) 763-5854
Mailing Address
346 GRAND AVE JOHNSON CITY, NY 13790
Mailing Phone
(607) 770-0025
Mailing Fax
(607) 763-5854
Is Sole Proprietor?
No
Enumeration Date
08-26-2005
Last Update Date
11-19-2011
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
154147
License State
NY
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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
B82666MEDICARE UPIN (02) 
01096175MEDICAID (05)NY 
BB1179MEDICARE PIN (08)NY 

Medicare Participation & PECOS Enrollment Status

Stuart Stiles 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 13790 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.92, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 94.92 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 88.02

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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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.
1750374518
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710067852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 7 + 8 + 5 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750374518 is valid because the calculated check digit 8 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
1669477832DR. RAJESH JAYANTKRISHNA DAVE M.D.
Individual
Specialist33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6690
1184616575 THEODORE M PETKOV MD
Individual
Emergency Medicine33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6412
1780677864 LILIANA LOFASO MD
Individual
Emergency Medicine33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6412
1396738472 TERESA A SACCO-BEDOSKY DO
Individual
Emergency Medicine33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6622
1851384630 SHAHID A MUGHAL MD
Individual
Hospitalist33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 762-6622
1942294194 EMMANUEL GUIZANO MD
Individual
Hospitalist33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6622
1780679266 CHRISTINE H FENLON MD
Individual
Internal Medicine (Infectious Disease)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6622
1538154810 PETER R SCHOTANUS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6151
1326033697 RICHARD M RIGOTTI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6285
1427043710 JAGMOHAN S SIDHU MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6151
1851387104 MAYSOON NAMAN MD
Individual
Emergency Medicine33-57 HARRISON ST UNITED MEDICAL ASSOCIATES PC
JOHNSON CITY, NY 13790
(607) 763-6412
1952398513 SAFA NAMAN MD
Individual
Emergency Medicine33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6412
1902893563 CLAUDE CORNWALL JR. MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6151
1700873361 LOREN WOLSH MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6285
1962499905 ROSA SOLIS MD
Individual
Hospitalist33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6622
1497745434 MICHAEL SHANNON HENNESSEY MD
Individual
Emergency Medicine33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6412
1023093184DR. GANG YUE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6151
1386622090 KATHLEEN JOAN WOLD ANP EDD
Individual
Nurse Practitioner (Adult Health)33-57 HARRISON ST HOSPITALIST PROGRAM - TCU
JOHNSON CITY, NY 13790
(607) 763-6622
1700850385 KETAN A. PATEL MD
Individual
Pathology (Cytopathology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6151
1861460701DR. EDWARD SANTELLI MD
Individual
Radiology (Diagnostic Radiology)33-57 HARRISON ST
JOHNSON CITY, NY 13790
(607) 763-6104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750374518, enumerated in the NPI registry as an "individual" on August 26, 2005

The provider is located at 33-57 Harrison St Johnson City, Ny 13790 and the phone number is (607) 763-6412

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: 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.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 26, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.