JOHN RIORDAN STULB PA
NPI 1225389505
Physician Assistant in Syracuse, NY

Active since September 26, 2012PECOS EnrolledAccepts Medicare Assignment
739 IRVING AVE STE 600, SYRACUSE, NY 13210(315) 701-2550(315) 701-2551 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2021, Mar 11, 2019 (2 updates tracked since 2019).

About John Riordan Stulb Pa NPPES

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

JOHN RIORDAN STULB PA (NPI 1225389505) is an individual physician assistant in Syracuse, New York, licensed in New York (016043) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains a secondary practice location in Cortland.

NPPES Registry Identity

NPI1225389505
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN RIORDAN STULBCredential: PA
Location Address739 IRVING AVE STE 600Syracuse, NY 13210
Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866
Fax(315) 701-2551
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 26, 2012
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
NPI 1225389505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 016043
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
739 IRVING AVE STE 600, Syracuse, NY 13210

Secondary Practice Location 1

Location 14038 West RdCortland, NY 13045-1842 · Phone (607) 758-3008 · Fax (607) 758-3019

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

John Riordan Stulb Pa 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 ID6103062138
PECOS Enrollment IDI20140428000350
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 3

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 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.
94 services71 patients
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.
16 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

Physician Assistant
739 IRVING AVE STE 600
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
739 IRVING AVE STE 600
SYRACUSE, NY 13210
Neurological Surgery
739 IRVING AVE STE 600
SYRACUSE, NY 13210
Physician Assistant
739 IRVING AVE STE 600
SYRACUSE, NY 13210
Neurological Surgery
739 IRVING AVE STE 600
SYRACUSE, NY 13210
Physician Assistant
739 IRVING AVE STE 600
SYRACUSE, NY 13210
Nurse Practitioner (Family)
739 IRVING AVE STE 600
SYRACUSE, NY 13210
Physician Assistant
739 IRVING AVE STE 600
SYRACUSE, NY 13210

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 John Stulb's NPI number?

The NPI number for John Stulb is 1225389505. It was assigned to this individual provider in the NPPES registry on September 26, 2012.

Where is John Stulb located?

John Stulb practices at 739 Irving Ave Ste 600, Syracuse, NY 13210. The listed phone number is (315) 701-2550.

What is John Stulb's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Stulb enrolled in Medicare?

Yes. John Stulb 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 John Stulb affiliated with any hospitals?

According to CMS data, John Stulb is affiliated with St Joseph's Hospital Health Center and Crouse Hospital.

When was this NPI record last updated?

The NPPES record for John Stulb was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.