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CARMEN MAGDALENA STANCA M.D.
NPI 1093048902
Internal Medicine - Gastroenterology in New York, NY

Active since September 09, 2009PECOS EnrolledAccepts Medicare Assignment
530 1ST AVE STE 4J, NEW YORK, NY 10016(212) 263-3643 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 19, 2023, Dec 29, 2021, Apr 2, 2021 (3 updates tracked since 2021).

About Carmen Magdalena Stanca M.d. NPPES

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

CARMEN MAGDALENA STANCA M.D. (NPI 1093048902) is an individual gastroenterology provider in New York, New York, licensed in New York (259189) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1093048902
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameCARMEN MAGDALENA STANCACredential: M.D.
Location Address530 1ST AVE STE 4JNew York, NY 10016-6402
Mailing AddressStony Brook Internists Ufpc Sbumc, Hsc Level 17 Rm 060Stony Brook, NY 11794-8173 · (631) 444-1665
Phone(212) 263-3643
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 9, 2009
Last NPPES UpdateJune 19, 20233 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1093048902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 259189
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
530 1ST AVE STE 4J, New York, NY 10016
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Secondary Practice Location 1

Location 1Stony Brook Internists UFPC SBUMC, HSC Level 17 Rm 060Stony Brook, NY 11794-8173 · Phone (631) 444-1665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmen Magdalena Stanca M.d. 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 ID9638395114
PECOS Enrollment IDI20220113000124
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.

Areas of Expertise CMS Part B claims 7

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.
202 services158 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
122 services121 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.
84 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services36 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Stanca's NPI number?

The NPI number for Carmen Stanca is 1093048902. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Carmen Stanca located?

Carmen Stanca practices at 530 1st Ave Ste 4J, New York, NY 10016. The listed phone number is (212) 263-3643.

What is Carmen Stanca's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Carmen Stanca enrolled in Medicare?

Yes. Carmen Stanca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carmen Stanca accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Carmen Stanca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carmen Stanca affiliated with any hospitals?

According to CMS data, Carmen Stanca is affiliated with Baylor University Medical Center, Baylor Scott And White Medical Center Lake Pointe, Baylor Scott & White Medical Center Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Carmen Stanca was last updated on June 19, 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.