DOUGLAS D STERN DO
NPI 1023065968
General Practice in Mc Connellsburg, PA

Q: What is Douglas Stern's NPI number?

The NPI number for Douglas Stern is 1023065968. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is Douglas Stern's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Stern was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment

214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233(717) 485-3155(717) 485-6124 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2023, Sep 8, 2022, Oct 30, 2020 and 1 more (4 updates tracked since 2015).

On this page

About Douglas D Stern Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS D STERN DO (NPI 1023065968) is an individual general practice provider in Mc Connellsburg, Pennsylvania, licensed in Pennsylvania (OS009472L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-lewistown Hospital, and maintains a secondary practice location in Romney.

NPPES Registry Identity

NPI1023065968

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDOUGLAS D STERNCredential: DO

Location Address214 PEACH ORCHARD RDMc Connellsburg, PA 17233-8559

Mailing Address214 Peach Orchard RdMc Connellsburg, PA 17233-8559 · (717) 485-3155 · Fax (717) 485-6124

Phone(717) 485-3155

Fax(717) 485-6124

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1996

Enumeration DateMay 27, 2006

Last NPPES UpdateJanuary 13, 20234 updates tracked since enumeration

NPPES CertifiedNovember 23, 2022

✔ NPI 1023065968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PA · OS009472L

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License OS009472L (PA)

Also ListedFamily MedicineTaxonomy 207Q00000X · License OS009472L (PA)

214 PEACH ORCHARD RD, Mc Connellsburg, PA 17233

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Secondary Practice Location 1

Location 1363 Sunrise BlvdRomney, WV 26757-4607 · Phone (304) 822-4561 · Fax (304) 822-4951

Other Identifiers 1

Medicaid101872664PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas D Stern Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466493606

PECOS Enrollment IDI20050518000109, I20260203003939

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Douglas Stern reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fulton County Medical Center

Same address

Critical Access

214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1639606718 (Pennsylvania)
80 clinicians in this Medicare group

NPI 1326044694 (717) 485-3155

Macdonalds Professional Services LLC

Same address

Multi-Specialty

214 PEACH ORCHARD RD STE 100
Mc Connellsburg, PA 17233

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1710781760 (717) 845-3622

War Memorial Hospital, Inc.

28 mi

Rural Health

3774 VALLEY ROAD
Berkeley Springs, WV 25411

Reassigned Medicare billing, West Virginia enrollment
158 clinicians in this Medicare group

NPI 1013489541 (304) 258-9433

Applebys Professional Services LLC

31 mi

Multi-Specialty

133 E SHIRLEY ST
Mount Union, PA 17066

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1023907227 (814) 542-4412

Dlp Conemaugh Physician Practices LLC

34 mi

Emergency Medicine

105 NASON DR
Roaring Spring, PA 16673

Reassigned Medicare billing, Pennsylvania enrollment
771 clinicians in this Medicare group

NPI 1245742188 (814) 224-6251

Nason Physician Practices LLC

34 mi

Emergency Medicine

105 NASON DR
Roaring Spring, PA 16673

Reassigned Medicare billing, Pennsylvania enrollment
112 clinicians in this Medicare group

NPI 1346752284 (814) 224-3322

J C Blair Memorial Hospital

38 mi

General Acute Care Hospital

1225 WARM SPRINGS AVE
Huntingdon, PA 16652

Reassigned Medicare billing, Pennsylvania enrollment
124 clinicians in this Medicare group

NPI 1790996445 (814) 643-2290

Upmc Altoona

45 mi

General Acute Care Hospital

620 HOWARD AVE.
Altoona, PA 16601

Reassigned Medicare billing, Pennsylvania enrollment
291 clinicians in this Medicare group

NPI 1497831655 (814) 889-2223

Windber Hospital, Inc.

49 mi

Emergency Medicine

600 SOMERSET AVE
Windber, PA 15963

Reassigned Medicare billing, Pennsylvania enrollment
53 clinicians in this Medicare group

NPI 1790999837 (814) 467-3000

Winchester Medical Center

50 mi

Rural Health

160 MERCHANT ST STE 100
Winchester, VA 22603

Reassigned Medicare billing, Virginia enrollment
756 clinicians in this Medicare group

NPI 1467045922 (540) 536-5560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

520 services270 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

247 services202 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

54 services50 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

50 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

38 services20 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

31 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services19 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services23 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

21 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services15 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390048

Location400 Highland AvenueLewistown, PA 17044 · Mifflin County

Emergency services Birthing friendly

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391303

Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County

Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511311

Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

76%514 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers154 claims187 services$5.17 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers20 claims20 services$1.02 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers62 claims62 services$20.11 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers13 claims13 services$7.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers62 claims62 services$110.71 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers19 claims1,200 services$0.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS STONESIFER

Pharmacist