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DR. TERRY STANTON JR. M.D.
NPI 1396163663
Psychiatry & Neurology - Psychiatry in Albuquerque, NM

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
MSC 09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-2223(505) 272-4639 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Terry Stanton Jr. M.d. NPPES

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

DR. TERRY STANTON JR. M.D. (NPI 1396163663) is an individual psychiatry provider in Albuquerque, New Mexico, licensed in California (A157818) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396163663
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TERRY STANTON JR.Credential: M.D.
Location AddressMSC 09 5030 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address11401 Bloomfield AveNorwalk, CA 90650-2015 · (562) 521-1152 · Fax (562) 651-1201
Phone(505) 272-2223
Fax(505) 272-4639
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateJuly 22, 2019
✔ NPI 1396163663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A157818
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MSC 09 5030 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Terry Stanton Jr. 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 ID4183844541
PECOS Enrollment IDI20190812002633
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.

Medicare Billing Reassignment

Medicare enrollment records show Terry Stanton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals
528 mi
Psychiatric Hospital
3102 E HIGHLAND AVE
Patton, CA 92369
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1043249204 (909) 425-7552

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Other Providers at the Same Location NPPES 2

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

RACHEL ROSE
Psychiatry & Neurology (Psychiatry)
MSC 09 5030 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-8244
ELISE CLARE MALIE MOROSIN MD
Psychiatry & Neurology (Psychiatry)
MSC 09 5030 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5428

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 Terry Stanton's NPI number?

The NPI number for Terry Stanton is 1396163663. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Terry Stanton located?

Terry Stanton practices at Msc 09 5030 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-2223.

What is Terry Stanton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Terry Stanton enrolled in Medicare?

Yes. Terry 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.

Which organization bills Medicare for Terry Stanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Stanton reassigns Medicare benefits to Department Of State Hospitals (Patton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terry Stanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Terry Stanton was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.