DR. JOHN ALVIN STEWART M.D.
NPI 1265423313
Dermatology in Opelika, AL

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
122 N 20TH ST, BLDG 25, OPELIKA, AL 36801(334) 749-5604(334) 749-3040 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Alvin Stewart M.d. NPPES

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

DR. JOHN ALVIN STEWART M.D. (NPI 1265423313) is an individual dermatology provider in Opelika, Alabama, licensed in Alabama (00009216) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1976).

NPPES Registry Identity

NPI1265423313
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JOHN ALVIN STEWARTCredential: M.D.
Location Address122 N 20TH ST, BLDG 25Opelika, AL 36801-5442
Mailing Address122 N 20th St, Bldg 25Opelika, AL 36801-5442 · (334) 749-5604 · Fax (334) 749-3040
Fax(334) 749-3040
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1976
Enumeration DateOctober 28, 2005
Last NPPES UpdateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
NPI 1265423313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AL · 00009216
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.
122 N 20TH ST, Opelika, AL 36801

Other Identifiers 1

Other510-06042AL · Blue Cross Blue Shield

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

Dr. John Alvin Stewart 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 ID5294904793
PECOS Enrollment IDI20110817000404
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 40

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.
5,754 services533 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.
866 services614 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.
515 services421 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.
429 services318 patients
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 17282
This procedure involves the removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that measures between 1.1 to 2.0 cm. It's done to prevent the spread of cancer and improve health.
373 services209 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
274 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
97%1,775 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%2,015 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 5

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

Family Medicine
122 N 20TH ST, BUILDING 24
OPELIKA, AL 36801
Ophthalmology
122 N 20TH ST, BLDG 26
OPELIKA, AL 36801
Social Worker (Clinical)
122 N 20TH ST, BUILDING #26
OPELIKA, AL 36801
Clinic/Center (Medical Specialty)
122 N 20TH ST, BLDG #25
OPELIKA, AL 36801
Ophthalmology
122 N 20TH ST, BLDG 26
OPELIKA, AL 36801

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 Stewart's NPI number?

The NPI number for John Stewart is 1265423313. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is John Stewart located?

John Stewart practices at 122 N 20th St Bldg 25, Opelika, AL 36801. The listed phone number is (334) 749-5604.

What is John Stewart's specialty?

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

Is John Stewart enrolled in Medicare?

Yes. John Stewart 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 John Stewart accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John Stewart 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 John Stewart was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.