MARY JO STINE M.D.
NPI 1619965803
Pediatrics in Spencer, IN

Q: What is Mary Stine's NPI number?

The NPI number for Mary Stine is 1619965803. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Q: What is Mary Stine's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Stine was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 11, 2005PECOS Enrolled

35 BOB BABBS DR, SPENCER, IN 47460(812) 665-1700(844) 605-9160 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2023, Aug 15, 2019, Nov 19, 2018 (3 updates tracked since 2018).

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About Mary Jo Stine M.d. NPPES

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

MARY JO STINE M.D. (NPI 1619965803) is an individual pediatrics provider in Spencer, Indiana, licensed in Indiana (01029565A) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1619965803

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY JO STINECredential: M.D.

Location Address35 BOB BABBS DRSpencer, IN 47460-6828

Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (844) 397-1311

Phone(812) 665-1700

Fax(844) 605-9160

Sole ProprietorNo

Enumeration DateOctober 11, 2005

Last NPPES UpdateJanuary 24, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2023

✔ NPI 1619965803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01029565A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 01029565A (IN)

35 BOB BABBS DR, Spencer, IN 47460

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Secondary Practice Location 1

Location 1901 Shelby StIndianapolis, IN 46203-1151 · Phone (317) 488-2040 · Fax (317) 488-2051

Other Identifiers 1

Medicaid100330490IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jo Stine M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mary Stine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indiana Health Centers Inc

32 mi

Federally Qualified Health Center (FQHC)

2415 MITCHELL RD STE C
Bedford, IN 47421

Reassigned Medicare billing, Indiana enrollment
71 clinicians in this Medicare group

NPI 1093427999 (812) 279-6222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47460 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

ELAINE CAROL MEYER LCSW

Social Worker (Clinical)