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DR. JAMES ELLIOTT STOUGHTON MD
NPI 1568438679
Emergency Medicine in Johnson City, NY

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
88.52/100
CMS Quality Rating
33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-6412 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Elliott Stoughton Md NPPES

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

DR. JAMES ELLIOTT STOUGHTON MD (NPI 1568438679) is an individual emergency medicine provider in Johnson City, New York, licensed in New York (245822) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1568438679
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES ELLIOTT STOUGHTONCredential: MD
Location Address33-57 HARRISON STJohnson City, NY 13790
Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905 · (607) 729-8156
Phone(607) 763-6412
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMay 30, 2018
✔ NPI 1568438679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 245822✔ Licensed in PA · MD073935L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
33-57 HARRISON ST, Johnson City, NY 13790
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Other Identifiers 3

Medicaid1011941710002PA
Other12110785Caqh
Medicaid02942345NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Elliott Stoughton 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 ID2668447079
PECOS Enrollment IDI20080205000444
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Stoughton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Exigence Medical Of Binghamton PLLC
1.9 mi
Emergency Medical Services
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group
NPI 1659464758 (607) 798-5231
United Medical Associates PC
2.1 mi
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
NPI 1013972801 (607) 770-0025

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
221 services211 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
89 services79 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services52 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
41 services32 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

88.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost76.76

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.

TASNIMA RIA ELAHI MD
Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6622
ZACHARY RONALD SECOR OTR/L
Occupational Therapist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6000
CAMRYN PERRI
Physician Assistant
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6412
MOHEUDIN KHAN
Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-9662
DR. VINCENT MONTONE MD
Radiology (Diagnostic Radiology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6104
DR. GANG YUE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6151
JOHN PETER ZEVAN DO
Emergency Medicine
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6611
ANTHONY B HOPKINS PHARMD
Pharmacist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 777-5803

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 James Stoughton's NPI number?

The NPI number for James Stoughton is 1568438679. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is James Stoughton located?

James Stoughton practices at 33-57 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 763-6412.

What is James Stoughton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Stoughton enrolled in Medicare?

Yes. James Stoughton 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.

Which organizations bill Medicare for James Stoughton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Stoughton reassigns Medicare benefits to 2 organizations: Exigence Medical Of Binghamton PLLC (Binghamton, NY) and United Medical Associates PC (Binghamton, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Stoughton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Stoughton affiliated with any hospitals?

According to CMS data, James Stoughton is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for James Stoughton was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.