BENJAMIN STONER-DUNCAN MD
NPI 1578982153
Emergency Medicine in Seattle, WA

Q: What is Benjamin Stoner-duncan's NPI number?

The NPI number for Benjamin Stoner-duncan is 1578982153. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Q: What is Benjamin Stoner-duncan's specialty?

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

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment

93.09/100

CMS Quality Rating

1550 N 115TH ST, SEATTLE, WA 98133(206) 364-0500 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2019, Jun 22, 2018 (2 updates tracked since 2018).

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About Benjamin Stoner-duncan Md NPPES

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

BENJAMIN STONER-DUNCAN MD (NPI 1578982153) is an individual emergency medicine provider in Seattle, Washington, licensed in Washington (60763753) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1578982153

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameBENJAMIN STONER-DUNCANCredential: MD

Location Address1550 N 115TH STSeattle, WA 98133

Mailing Address1550 N 115th StSeattle, WA 98133-8498 · (206) 668-0500

Phone(206) 364-0500

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2014

Enumeration DateApril 10, 2014

Last NPPES UpdateFebruary 12, 20192 updates tracked since enumeration

✔ NPI 1578982153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · 60763753

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.

1550 N 115TH ST, Seattle, WA 98133

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Secondary Practice Location 1

Location 1325 9th Ave, Box 359702Seattle, WA 98104-2420 · Phone (206) 744-8334

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Benjamin Stoner-duncan 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 ID8729394887

PECOS Enrollment IDI20180612002138

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 3

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 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.

302 services291 patients

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.

77 services76 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

30 services30 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number500008

Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

93.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.95

Promoting Interoperability

100

Improvement Activities

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.

DR. MARIA ANN CORCORRAN MD

Internal Medicine