DR. QUINN ANDREW STILLSON MD
NPI 1467109231
Integrative Medicine in Elkhart, IN

NPI Status: Active since March 02, 2022

Contact Information

1004 PARKWAY AVE STE C
ELKHART, IN
ZIP 46516
Phone: (574) 294-1883

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  • Individual
  • Male
  • Integrative Medicine
  • PECOS Enrolled
  • Opted-Out Medicare

About QUINN STILLSON

This page provides the complete NPI Profile along with additional information for Quinn Stillson, a provider established in Elkhart, Indiana with a medical specialization in Integrative Medicine. The healthcare provider is registered in the NPI registry with number 1467109231 assigned on March 2022. The practitioner's primary taxonomy code is 202D00000X with license number 01094239A (IN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1467109231
Provider Name
DR. QUINN ANDREW STILLSON MD
Gender
Male
Entity Type
Individual
Location Address
1004 PARKWAY AVE STE C ELKHART, IN 46516
Location Phone
(574) 294-1883
Mailing Address
1004 PARKWAY AVE STE C ELKHART, IN 46516
Mailing Phone
(574) 294-1883
Is Sole Proprietor?
No
Enumeration Date
03-02-2022
Last Update Date
09-04-2024
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Quinn Stillson opted out of Medicare effective on 01-21-2025 until 01-21-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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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

Integrative Medicine

Taxonomy Code
202D00000X
Type
Allopathic & Osteopathic Physicians
License No.
01094239A
License State
IN
Taxonomy Description
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

125081732 (IL)

Medicare Participation & PECOS Enrollment Status

Quinn Stillson 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-21-2025

  • Opt-Out End Date: 01-21-2027

  • Eligible to Order and Refer? 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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467109231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 2 + 0 + 1 + 8 + 2 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1467109231.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467109231, enumerated as an "individual" on March 02, 2022.

The provider is located at 1004 PARKWAY AVE STE C ELKHART, IN 46516 and the phone number is (574) 294-1883.

Integrative Medicine with taxonomy code 202D00000X.