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MARY STUART
NPI 1417372772
Physician Assistant in Alton, IL

Active since February 24, 2014PECOS EnrolledAccepts Medicare Assignment
4 MEMORIAL DR, STE 130B, ALTON, IL 62002(618) 463-7600(618) 463-7601 Get Directions Write a Review

NPPES record last updated: February 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Stuart NPPES

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

MARY STUART (NPI 1417372772) is an individual physician assistant in Alton, Illinois, licensed in Illinois (085.004857) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417372772
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY STUART
Location Address4 MEMORIAL DR, STE 130BAlton, IL 62002-6751
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (618) 463-7600 · Fax (618) 463-7601
Phone(618) 463-7600
Fax(618) 463-7601
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 24, 2014
Last NPPES UpdateFebruary 28, 2021
NPPES CertifiedFebruary 28, 2021
✔ NPI 1417372772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.004857
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4 MEMORIAL DR, Alton, IL 62002
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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

Mary Stuart 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 ID5799918975
PECOS Enrollment IDI20140424001196
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 11

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
2,100 services17 patients
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
1,200 services18 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
267 services150 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
194 services137 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
73 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 8

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

MRS. MISTY D BICIOCCHI FNP
Nurse Practitioner
4 MEMORIAL DR, STE 134
ALTON, IL 62002
Madison County (618) 607-1340
LAURA L BRANDENBURG FNP
Nurse Practitioner (Family)
4 MEMORIAL DR, STE 230B
ALTON, IL 62002
Madison County (618) 463-7777
DR. MENA M LUANGJAMEKORN MD
Family Medicine
4 MEMORIAL DR, STE 230
ALTON, IL 62002
Madison County (618) 463-7777
CASEY A NEWGENT PA
Physician Assistant
4 MEMORIAL DR, STE 130B
ALTON, IL 62002
Madison County (618) 463-7600
LYNDSI K SIEVERS PA-C
Physician Assistant
4 MEMORIAL DR, STE 130B
ALTON, IL 62002
Madison County (618) 463-7600
LAURANCE MONCKTON
Surgery
4 MEMORIAL DR, STE 230
ALTON, IL 62002
Madison County (618) 462-3191
JOHN W STIRTON MD
Orthopaedic Surgery
4 MEMORIAL DR, STE 130B
ALTON, IL 62002
Madison County (618) 463-7600
DR. DAWN NICOLE TALBERT D.O.
Family Medicine
4 MEMORIAL DR, STE 230
ALTON, IL 62002
Madison County (618) 463-7777

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 Mary Stuart's NPI number?

The NPI number for Mary Stuart is 1417372772. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Mary Stuart located?

Mary Stuart practices at 4 Memorial Dr Ste 130B, Alton, IL 62002. The listed phone number is (618) 463-7600.

What is Mary Stuart's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Stuart enrolled in Medicare?

Yes. Mary Stuart 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 Mary Stuart affiliated with any hospitals?

According to CMS data, Mary Stuart is affiliated with Alton Memorial Hospital and Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Mary Stuart was last updated on February 28, 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.