DR. PAUL STOKO
NPI 1477949121
Physical Medicine & Rehabilitation in Scranton, PA

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
5 MORGAN HWY STE 4, SCRANTON, PA 18508(570) 344-3788 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Sep 25, 2019, Aug 1, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Paul Stoko NPPES

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

DR. PAUL STOKO (NPI 1477949121) is an individual physical medicine & rehabilitation provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD467993) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477949121
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. PAUL STOKO
Location Address5 MORGAN HWY STE 4Scranton, PA 18508-2641
Mailing Address5 Morgan Hwy Ste 4Scranton, PA 18508-2641 · (570) 344-3788
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateOctober 26, 20234 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1477949121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in PA · MD467993
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
5 MORGAN HWY STE 4, Scranton, PA 18508

Other Identifiers 1

Other004265099PA · Highmark Bs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Dr. Paul Stoko 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 ID143557629
PECOS Enrollment IDI20190806002910
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
331 services186 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
167 services163 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services106 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
101 services84 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
28 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier11 claims11 services$40.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Massage Therapist
5 MORGAN HWY STE 4
SCRANTON, PA 18508
Physician Assistant (Medical)
5 MORGAN HWY STE 4
SCRANTON, PA 18508
Physical Therapy Assistant
5 MORGAN HWY STE 4
SCRANTON, PA 18508
Physical Medicine & Rehabilitation
5 MORGAN HWY STE 4
SCRANTON, PA 18508
Massage Therapist
5 MORGAN HWY STE 4
SCRANTON, PA 18508
Massage Therapist
5 MORGAN HWY STE 4
SCRANTON, PA 18508
Nurse Practitioner (Family)
5 MORGAN HWY STE 4
SCRANTON, PA 18508
Physician Assistant (Medical)
5 MORGAN HWY STE 4
SCRANTON, PA 18508

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 Paul Stoko's NPI number?

The NPI number for Paul Stoko is 1477949121. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Paul Stoko located?

Paul Stoko practices at 5 Morgan Hwy Ste 4, Scranton, PA 18508. The listed phone number is (570) 344-3788.

What is Paul Stoko's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Paul Stoko enrolled in Medicare?

Yes. Paul Stoko 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.

What insurance does Paul Stoko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Stoko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Stoko affiliated with any hospitals?

According to CMS data, Paul Stoko is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Regional Hospital Of Scranton and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Paul Stoko was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.