JUSTIN C. STONE M.D.
NPI 1285923532
Emergency Medicine in Philadelphia, PA

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-6679(215) 254-2630 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin C. Stone M.d. NPPES

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

JUSTIN C. STONE M.D. (NPI 1285923532) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD4544901) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Evangelical Community Hospital, and maintains a secondary practice location in Lewisburg.

NPPES Registry Identity

NPI1285923532
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN C. STONECredential: M.D.
Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018
Mailing Address5501 Old York RdPhiladelphia, PA 19141-3018
Fax(215) 254-2630
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
NPI 1285923532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in PA · MD4544901 Licensed in VA · 0101256286
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5501 OLD YORK RD, Philadelphia, PA 19141

Secondary Practice Location 1

Location 11 Hospital DrLewisburg, PA 17837-9350 · Phone (570) 522-2640

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

Justin C. Stone 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 ID7911136650
PECOS Enrollment IDI20150716001236
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
151 services145 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390013
LocationOne Hospital DriveLewisburg, PA 17837 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141

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 Justin Stone's NPI number?

The NPI number for Justin Stone is 1285923532. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Justin Stone located?

Justin Stone practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-6679.

What is Justin Stone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Stone enrolled in Medicare?

Yes. Justin Stone 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 Justin Stone affiliated with any hospitals?

According to CMS data, Justin Stone is affiliated with Evangelical Community Hospital.

When was this NPI record last updated?

The NPPES record for Justin Stone was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.