DR. BRUCE N STANLEY M.D. NPI 1326135807
Family Medicine in Layton, UT
About DR. BRUCE N STANLEY M.D.
Bruce Stanley is a primary care provider established in Layton, Utah and his medical specialization is Family Medicine with more than 24 years of experience. He graduated from Saint Louis University School Of Medicine in 1999. The NPI number of this provider is 1326135807 and was assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 47734831205 (UT). The provider is registered as an individual and his NPI record was last updated 15 years ago.
| NPI | 1326135807 |
| Provider Name | DR. BRUCE N STANLEY M.D. |
| Location Address | 2075 N 1200 W LAYTON, UT 84041 |
| Location Phone | (801) 779-6200 |
| Mailing Address | PO BOX 27128 SALT LAKE CITY, UT 84127 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Enumeration Date | 10-06-2006 |
| Last Update Date | 07-09-2008 |
A primary care provider (PCP) like Bruce Stanley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Bruce Stanley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Bruce Stanley is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mckay Dee Hospital and Layton Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $25.08 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 47734831205 |
| License State | UT |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2075 N 1200 W
LAYTON, UT
ZIP 84041
Phone: (801) 779-6200
Mailing Address
PO BOX 27128
SALT LAKE CITY, UT
ZIP 84127
Phone: (801) 779-6200
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 5799680641 |
| PECOS Enrollment ID | I20031203000708 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 84041 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.18 | $171.82 | $86.74 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.04 | $42.95 | $21.68 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.3 | $140.3 | $100.32 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.32 | $35.07 | $25.08 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 193Mammography of both breasts (HCPCS:77067)
- 73Bone density measurement using dedicated x-ray machine (HCPCS:77080)
- 55Hemoglobin a1c level (HCPCS:83036)
- 55Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 46Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 40Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 29Administration of influenza virus vaccine (HCPCS:G0008)
- 26Vaccine for influenza for injection into muscle (HCPCS:90662)
- 18Automated urinalysis test (HCPCS:81003)
- 12X-ray of chest, 2 views (HCPCS:71046)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bruce Stanley is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| MCKAY DEE HOSPITAL | 4401 HARRISON BOULEVARD OGDEN, UT 84403 | (801) 387-2800 | Acute Care Hospitals | 460004 | |
| LAYTON HOSPITAL | 201 WEST LAYTON PARKWAY LAYTON, UT 84041 | (801) 543-6703 | Acute Care Hospitals | 460061 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 005506610 | MEDICARE PIN (08) | |
| 005509339 | MEDICARE PIN (08) | |
| 005597901 | MEDICARE PIN (08) | |
| 000063542 | MEDICARE PIN (08) | UT |
| 005528145 | MEDICARE PIN (08) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 1 | 3 | 5 | 8 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 2 | 3 | 10 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 2 + 3 + 1 + 0 + 8 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1326135807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366449241 | DR. ADAM NEBEKER MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1891786968 | JOHN J MURDOCK MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 475-1657 |
| 1568435469 | DR. CRAIG THOMAS HATTON MD Individual | Orthopaedic Surgery | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1417977075 | DR. JOEL G PORTER M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1336169176 | DR. DAVID K TENSMEYER MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1326061920 | DR. MICHAEL S NIELSEN M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1275556870 | DR. TODD L SHELBY M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1205850229 | DR. JAMES J PORTER PHARMD Individual | Pharmacist | 2075 N 1200 W INTERMOUNTAIN LAYTON PHARMACY LAYTON, UT 84041 (801) 779-6210 |
| 1104934280 | DR. JOHNNIE V COOK MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1194833244 | DR. MARK K MILLIGAN MD Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1083724934 | MR. GARY JOHN DAWSON R.PH. Individual | Pharmacist | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6210 |
| 1124107644 | GREG HANCOCK RPH Individual | Pharmacist | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6210 |
| 1447320163 | DR. MARC L JOHNSON M.D. Individual | Family Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1437206398 | SHAUNA GAGNER MD Individual | Pediatrics | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1710012745 | IHC HEALTH SERVICES INC Organization | Emergency Medicine | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1386779312 | IHC HEALTH SERVICES INC Organization | Pediatrics | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1205966439 | IHC HEALTH SERVICES INC Organization | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 2075 N 1200 W 2ND FLOOR LAYTON, UT 84041 (801) 776-4444 |
| 1942448857 | IHC HEALTH SERVICES INC Organization | Clinic/Center (Multi-Specialty) | 2075 N 1200 W LAYTON, UT 84041 (801) 387-5620 |
| 1669592069 | DR. CHRISTOPHER CONRAD BELL M.D. Individual | Family Medicine (Sports Medicine) | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
| 1053367631 | IHC HEALTH SERVICES, INC Organization | Radiologic Technologist | 2075 N 1200 W LAYTON, UT 84041 (801) 779-6200 |
Frequently Asked Questions
What is Dr. Bruce Stanley M.D. NPI number?
The NPI number assigned to this healthcare provider is 1326135807, registered as an "individual" on October 06, 2006
Where is Dr. Bruce Stanley M.D. located?
The provider is located at 2075 N 1200 W Layton, Ut 84041 and the phone number is (801) 779-6200
Which is Dr. Bruce Stanley M.D. specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. Bruce Stanley M.D. have?
The provider has more than 24 years of experience. He graduated from Saint Louis University School Of Medicine in 1999.
What insurance does Dr. Bruce Stanley M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Bruce Stanley M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Bruce Stanley M.D.?
Medicare beneficiaries should expect a typical cost of $86.74 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $100.32 and an average copayment of 25.08. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Bruce Stanley M.D.?
The most common procedures or services performed by this practitioner are: Mammography of both breasts, Bone density measurement using dedicated x-ray machine, Hemoglobin a1c level, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Insertion of needle into vein for collection of blood sample, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Administration of influenza virus vaccine, Vaccine for influenza for injection into muscle, Automated urinalysis test and X-ray of chest, 2 views.
Is Dr. Bruce Stanley M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: MCKAY DEE HOSPITAL and LAYTON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Bruce Stanley M.D. was last updated on October 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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