JAMES STONER M.D.
NPI 1093195901
Internal Medicine in Bethlehem, PA

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
801 OSTRUM ST, BETHLEHEM, PA 18015(484) 526-4644 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Stoner M.d. NPPES

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

JAMES STONER M.D. (NPI 1093195901) is an individual internal medicine provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MT209415) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Temple University School Of Medicine (2015).

NPPES Registry Identity

NPI1093195901
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES STONERCredential: M.D.
Location Address801 OSTRUM STBethlehem, PA 18015-1000
Mailing Address1427 Oakland StBethlehem, PA 18017-5920 · (717) 381-1268
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2015
Enumeration DateJune 5, 2015
NPI 1093195901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MT209415
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
801 OSTRUM ST, Bethlehem, PA 18015

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

James Stoner 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 ID3779878582
PECOS Enrollment IDI20210624002890, I20210624003050
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 12

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.

Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
205 services202 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
116 services115 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
93 services92 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
89 services88 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
83 services82 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
81 services81 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
801 OSTRUM ST, DEPT. OF EMERGENCY MEDICINE
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Obstetrics & Gynecology
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Practitioner (Acute Care)
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Internal Medicine (Critical Care Medicine)
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Anesthetist, Certified Registered
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015

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 James Stoner's NPI number?

The NPI number for James Stoner is 1093195901. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is James Stoner located?

James Stoner practices at 801 Ostrum St, Bethlehem, PA 18015. The listed phone number is (484) 526-4644.

What is James Stoner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Stoner enrolled in Medicare?

Yes. James Stoner 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.

Is James Stoner affiliated with any hospitals?

According to CMS data, James Stoner is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health, St Luke's Hospital - Monroe Campus and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for James Stoner was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.