JOHN PATRICK STOUTENBURG MD
NPI 1306834411
Internal Medicine - Hematology & Oncology in Glens Falls, NY

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
100 PARK ST, CR WOOD CANCER CENTER, GLENS FALLS, NY 12801(518) 926-6620(518) 926-1954 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Patrick Stoutenburg Md NPPES

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

JOHN PATRICK STOUTENBURG MD (NPI 1306834411) is an individual hematology & oncology provider in Glens Falls, New York, licensed in New York (225232) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of State University Of Ny Upstate Medical University (1999).

NPPES Registry Identity

NPI1306834411
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOHN PATRICK STOUTENBURGCredential: MD
Location Address100 PARK ST, CR WOOD CANCER CENTERGlens Falls, NY 12801-4413
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983
Fax(518) 926-1954
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1999
Enumeration DateOctober 12, 2005
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 8, 2021
NPI 1306834411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 225232
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
100 PARK ST, Glens Falls, NY 12801

Other Identifiers 2

Medicaid02667792NY
OtherP00248124NY · Rr Medicare

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 Patrick Stoutenburg Md 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 ID1052354057
PECOS Enrollment IDI20050609000625
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 10

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.
526 services240 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services27 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.
44 services31 patients
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.
37 services31 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.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier23 claims23 services$18.46 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier23 claims23 services$35.94 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier23 claims215 services$1.61 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 20

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

Dietitian, Registered
100 PARK ST
GLENS FALLS, NY 12801
Pharmacist
100 PARK ST
GLENS FALLS, NY 12801
Radiology (Radiation Oncology)
100 PARK ST
GLENS FALLS, NY 12801
Registered Nurse (Psychiatric/Mental Health, Adult)
100 PARK ST
GLENS FALLS, NY 12801
Pharmacist
100 PARK ST
GLENS FALLS, NY 12801
Registered Nurse (Psychiatric/Mental Health, Adult)
100 PARK ST
GLENS FALLS, NY 12801
Anesthesiology
100 PARK ST, GLENS FALLS HOSPITAL - DEPT OF ANESTHESIA
GLENS FALLS, NY 12801
Physician Assistant
100 PARK ST
GLENS FALLS, NY 12801

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 Stoutenburg's NPI number?

The NPI number for John Stoutenburg is 1306834411. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is John Stoutenburg located?

John Stoutenburg practices at 100 Park St Cr Wood Cancer Center, Glens Falls, NY 12801. The listed phone number is (518) 926-6620.

What is John Stoutenburg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is John Stoutenburg enrolled in Medicare?

Yes. John Stoutenburg 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 Stoutenburg affiliated with any hospitals?

According to CMS data, John Stoutenburg is affiliated with Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for John Stoutenburg was last updated on June 29, 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.