JOHN W STOUGHTON M.D.
NPI 1609936194
Family Medicine - Adult Medicine in Tucson, AZ

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
7105 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 547-0611(520) 547-0616 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John W Stoughton M.d. NPPES

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

JOHN W STOUGHTON M.D. (NPI 1609936194) is an individual adult medicine provider in Tucson, Arizona, licensed in Arizona (21340) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1609936194
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameJOHN W STOUGHTONCredential: M.D.
Location Address7105 N LA CHOLLA BLVDTucson, AZ 85741-3112
Mailing Address4801 E Broadway Blvd Ste 251Tucson, AZ 85711-2700 · (520) 327-0460 · Fax (520) 795-0225
Fax(520) 547-0616
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 12, 2006
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1609936194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in AZ · 21340
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

7105 N LA CHOLLA BLVD, Tucson, AZ 85741

Other Identifiers 1

OtherZ136528AZ · Ptan

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

John W Stoughton M.d. 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 ID7416973664
PECOS Enrollment IDI20051018000497
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 55

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.
1,633 services902 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,337 services813 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,135 services787 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
970 services701 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
784 services784 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
760 services614 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers33 claims81 services$6.44 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers38 claims38 services$30.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers19 claims19 services$70.51 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers20 claims59 services$28.17 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers26 claims140 services$15.74 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers11 claims46 services$11.85 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 11

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

Clinical Nurse Specialist (Family Health)
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741
Physician Assistant
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Practitioner (Family)
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741
Family Medicine
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741
Family Medicine
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741
Family Medicine
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741
Family Medicine
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Practitioner
7105 N LA CHOLLA BLVD
TUCSON, AZ 85741

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 John Stoughton's NPI number?

The NPI number for John Stoughton is 1609936194. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is John Stoughton located?

John Stoughton practices at 7105 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (520) 547-0611.

What is John Stoughton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is John Stoughton enrolled in Medicare?

Yes. John 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.

What insurance does John Stoughton accept?

Health plans from Blue Cross Blue Shield of Arizona list John Stoughton 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.

When was this NPI record last updated?

The NPPES record for John Stoughton was last updated on June 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.