MICHAEL L STANCHINA MD
NPI 1518989367
Internal Medicine - Pulmonary Disease in East Greenwich, RI

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
1407 S COUNTY TRL, EAST GREENWICH, RI 02818(401) 886-7910(401) 886-7913 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Jul 2, 2025, Feb 8, 2021 and 1 more (4 updates tracked since 2019).

About Michael L Stanchina Md NPPES

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

MICHAEL L STANCHINA MD (NPI 1518989367) is an individual pulmonary disease provider in East Greenwich, Rhode Island, licensed in Rhode Island (MD10911) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1518989367
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL L STANCHINACredential: MD
Location Address1407 S COUNTY TRLEast Greenwich, RI 02818-1620
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Fax(401) 886-7913
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1994
Enumeration DateJuly 24, 2006
Last NPPES UpdateJune 3, 20264 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1518989367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in RI · MD10911 Licensed in MA · 154510
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 154510 (MA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 154510 (MA)
1407 S COUNTY TRL, East Greenwich, RI 02818

Secondary Practice Locations 4

Location 11768 Business Center Dr Ste 100Reston, VA 20190-5359 · Phone (800) 762-9244 · Fax (786) 672-6006
Location 21405 S County Trl Ste 3AEast Greenwich, RI 02818-5081 · Phone (401) 886-7319 · Fax (401) 886-7913
Location 3455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546
Location 475 Francis StBoston, MA 02115-6106 · Phone (617) 732-5500

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

Michael L Stanchina Md 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 ID1557345188
PECOS Enrollment IDI20040614000359, I20091123000299, I20250307003078, I20250307003149, I20250310003228, I20250320002085, I20250403001307, I20250814004980
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 13

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.
575 services397 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.
280 services261 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
227 services85 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
100 services99 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services75 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.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02818 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
21 suppliers450 claims450 services$35.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers210 claims210 services$77.55 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers230 claims597 services$27.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers166 claims850 services$16.52 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
16 suppliers153 claims822 services$12.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
21 suppliers326 claims326 services$44.12 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 10

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

Internal Medicine
1407 S COUNTY TRL, UNIT 422
EAST GREENWICH, RI 02818
Psychiatry & Neurology (Psychiatry)
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Physician Assistant
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Internal Medicine (Gastroenterology)
1407 S COUNTY TRL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Physician Assistant
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Internal Medicine (Gastroenterology)
1407 S COUNTY TRL, BLDG #4 SUITE 410
EAST GREENWICH, RI 02818
Nurse Practitioner (Adult Health)
1407 S COUNTY TRL
EAST GREENWICH, RI 02818
Internal Medicine (Gastroenterology)
1407 S COUNTY TRL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818

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 Michael Stanchina's NPI number?

The NPI number for Michael Stanchina is 1518989367. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Stanchina located?

Michael Stanchina practices at 1407 S County Trl, East Greenwich, RI 02818. The listed phone number is (401) 886-7910.

What is Michael Stanchina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Stanchina enrolled in Medicare?

Yes. Michael Stanchina 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 Michael Stanchina affiliated with any hospitals?

According to CMS data, Michael Stanchina is affiliated with Mount Auburn Hospital, South County Hospital Inc, Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Michael Stanchina was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.