RICHARD D STANLEY MD
NPI 1427167329
Obstetrics & Gynecology in Abilene, TX
NPI Status: Active since August 30, 2006
Contact Information
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
Phone: (325) 428-5502
Fax: (325) 428-5519
- Individual
- Female
- Obstetrics & Gynecology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About RICHARD STANLEY
This page provides the complete NPI Profile along with additional information for Richard Stanley, a women's health care provider established in Abilene, Texas with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1427167329 assigned on August 2006. The practitioner's primary taxonomy code is 207V00000X with license number D9678 (TX). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1427167329
- Provider Name
- RICHARD D STANLEY MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6250 REGIONAL PLZ SUITE 1010 ABILENE, TX 79606
- Location Phone
- (325) 428-5502
- Location Fax
- (325) 428-5519
- Mailing Address
- 1680 ANTILLEY RD STE 310 ABILENE, TX 79606
- Mailing Phone
- (325) 428-5750
- Mailing Fax
- (325) 428-5519
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 07-22-2013
- Code Navigator
Women's health care providers like Richard Stanley treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D9678
- License State
- TX
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 099861902 | MEDICAID (05) | TX | |
| C22179 | MEDICARE UPIN (02) | TX | |
| 85821B | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
Medicare Participation & PECOS Enrollment Status
Richard 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 79606 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|
Reviews for RICHARD D STANLEY MD
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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 | 4 | 2 | 7 | 1 | 6 | 7 | 3 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 6 | 14 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 6 + 1 + 4 + 3 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1427167329 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
DCF
Internal Medicine
(Cardiovascular Disease)
6250 REGIONAL PLZ
STE. 1050
ABILENE, TX
ZIP 79606
MS. ELLEN BOYD FNP
Nurse Practitioner
6250 REGIONAL PLZ
SUITE 1070
ABILENE, TX
ZIP 79606
ELVIRA GARCIA M.D.
Pediatrics
6250 REGIONAL PLZ
SUITE 1030
ABILENE, TX
ZIP 79606
DAVID JOSEPH RANDELL DO
Family Medicine
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
LANOARD BAYOUTH MD
Internal Medicine
(Cardiovascular Disease)
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
DR. MARK A RUBIN MD
Colon & Rectal Surgery
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
JAMES GREGORY YOST MD
Surgery
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
JOHN F COLE D.O.
Surgery
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
PATRICIA MUNOZ TRUEBLOOD NP
Nurse Practitioner
(Family)
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
JENNIFER LYNN FLORES NP
Nurse Practitioner
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Internal Medicine
(Cardiovascular Disease)
6250 REGIONAL PLZ
SUITE 1050
ABILENE, TX
ZIP 79606
SHARON KAY WILLERTON FNP-C
Nurse Practitioner
(Family)
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
JOSEPH MILTON MCCLINTOCK M.D.
Urology
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
SAMBHITAB SALVI III MD
Family Medicine
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
DAVID B MCCAIN M.D.
Internal Medicine
(Cardiovascular Disease)
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
DOUGLAS B FULLERTON MD
Family Medicine
6250 REGIONAL PLZ
SUITE 1010
ABILENE, TX
ZIP 79606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427167329, enumerated as an "individual" on August 30, 2006.
The provider is located at 6250 REGIONAL PLZ SUITE 1010 ABILENE, TX 79606 and the phone number is (325) 428-5502.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.
