NATHAN A STANTON P.A.
NPI 1265534069
Physician Assistant - Medical in Opelika, AL

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
83.73/100
CMS Quality Rating
121 N 20TH ST STE 19, OPELIKA, AL 36801(334) 749-8146(334) 737-6432 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan A Stanton P.a. NPPES

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

NATHAN A STANTON P.A. (NPI 1265534069) is an individual medical provider in Opelika, Alabama, licensed in Alabama (PA442) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2005).

NPPES Registry Identity

NPI1265534069
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNATHAN A STANTONCredential: P.A.
Location Address121 N 20TH ST STE 19Opelika, AL 36801-5456
Mailing Address121 N 20th St Ste 19Opelika, AL 36801-5456 · (334) 749-8146 · Fax (334) 737-6432
Fax(334) 737-6432
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2005
Enumeration DateSeptember 2, 2006
Last NPPES UpdateFebruary 14, 2013
NPI 1265534069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AL · PA442
121 N 20TH ST STE 19, Opelika, AL 36801

Other Identifiers 5

Medicare ID-Type Unspecified051556771STAAL
Other510-02245AL · Bcbs Pmd
Medicaid009941187AL
Medicaid051556771AL
Medicare UPINQ53053AL

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

Nathan A Stanton P.a. 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 ID6305861105
PECOS Enrollment IDI20051011000593
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

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.
11 services11 patients

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.

83.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.84
Promoting Interoperability100
Improvement Activities40
Cost70.93

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims1,080 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,230 services$1.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Urology
121 N 20TH ST STE 19
OPELIKA, AL 36801
Urology
121 N 20TH ST STE 19
OPELIKA, AL 36801
Urology
121 N 20TH ST STE 19
OPELIKA, AL 36801
Urology
121 N 20TH ST STE 19
OPELIKA, AL 36801
Urology
121 N 20TH ST STE 19
OPELIKA, AL 36801
Urology
121 N 20TH ST STE 19
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 Nathan Stanton's NPI number?

The NPI number for Nathan Stanton is 1265534069. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Nathan Stanton located?

Nathan Stanton practices at 121 N 20th St Ste 19, Opelika, AL 36801. The listed phone number is (334) 749-8146.

What is Nathan Stanton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nathan Stanton enrolled in Medicare?

Yes. Nathan Stanton 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 Nathan Stanton accept?

Health plans from UnitedHealthcare list Nathan Stanton 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 Nathan Stanton was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.