RONALD J STANLEY M.D.
NPI 1225037302
Dermatology in Boone, NC

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
91.92/100
CMS Quality Rating
169 BIRCH ST, BOONE, NC 28607(828) 264-4553(828) 262-3649 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ronald J Stanley M.d. NPPES

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

RONALD J STANLEY M.D. (NPI 1225037302) is an individual dermatology provider in Boone, North Carolina, licensed in North Carolina (18060) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1972).

NPPES Registry Identity

NPI1225037302
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameRONALD J STANLEYCredential: M.D.
Location Address169 BIRCH STBoone, NC 28607-5069
Mailing Address169 Birch StBoone, NC 28607-5069 · (828) 264-4553 · Fax (828) 262-3649
Fax(828) 262-3649
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1972
Enumeration DateJuly 20, 2005
Last NPPES UpdateJanuary 17, 2008
NPI 1225037302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 18060
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

169 BIRCH ST, Boone, NC 28607

Other Identifiers 3

Medicare UPIND33180
Medicaid8979292NC
Medicare ID-Type Unspecified210652

Accepted 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

Ronald J Stanley 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 ID2860426202
PECOS Enrollment IDI20100119000676
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 21

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
5,198 services530 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
1,495 services584 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
1,040 services788 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.
711 services552 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
627 services544 patients
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311
This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.
520 services307 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

91.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.96
Promoting Interoperability98
Improvement Activities40
Cost88.78

Reported Quality Measures

Documentation of Current Medications in the Medical Record
97%3,366 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
98%281 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 661 patients
100%661 patients
Provide Patients Electronic Access to Their Health Information
99%2,556 patients4/55-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.

Other Providers at the Same Location NPPES 8

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

Dermatology
169 BIRCH ST
BOONE, NC 28607
Dermatology (MOHS-Micrographic Surgery)
169 BIRCH ST
BOONE, NC 28607
Dermatology
169 BIRCH ST
BOONE, NC 28607
Physician Assistant
169 BIRCH ST
BOONE, NC 28607
Dermatology
169 BIRCH ST
BOONE, NC 28607
Dermatology
169 BIRCH ST
BOONE, NC 28607
Physician Assistant
169 BIRCH ST
BOONE, NC 28607
Physician Assistant
169 BIRCH ST
BOONE, NC 28607

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 Ronald Stanley's NPI number?

The NPI number for Ronald Stanley is 1225037302. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Ronald Stanley located?

Ronald Stanley practices at 169 Birch St, Boone, NC 28607. The listed phone number is (828) 264-4553.

What is Ronald Stanley's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ronald Stanley enrolled in Medicare?

Yes. Ronald Stanley 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 Ronald Stanley accept?

Health plans from Blue Cross and Blue Shield of NC list Ronald Stanley 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.

When was this NPI record last updated?

The NPPES record for Ronald Stanley was last updated on January 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.