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

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: August 16, 2026.

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

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.

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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Other Identifiers 1

Medicaid100330490IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (812) 829-4871
MRS. BOBBI J LUTTRELL NP
Nurse Practitioner (Family)
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (812) 652-1700
JULIANNA M HOLMES LMHC
Counselor (Mental Health)
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (812) 829-4871
JASON WOODS LMHC
Counselor (Mental Health)
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (812) 829-4871
HAYLIE ELIZABETH ROMER LSW, MSW
Social Worker
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (765) 721-2809
SAMANTHA JO FRITCH FNP
Nurse Practitioner (Family)
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (812) 652-1700
MELISSA KOHLMAN
Case Manager/Care Coordinator
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (812) 829-4871
AHMED FARAGALLAH IBRAHIM FARAGALLAH MD
Pediatrics
35 BOB BABBS DR
SPENCER, IN 47460
Owen County (812) 652-1700

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 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.

Where is Mary Stine located?

Mary Stine practices at 35 Bob Babbs Dr, Spencer, IN 47460. The listed phone number is (812) 665-1700.

What is Mary Stine's specialty?

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

Is Mary Stine enrolled in Medicare?

Yes. Mary Stine is registered in the Medicare PECOS enrollment system.

What insurance does Mary Stine accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mary Stine 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 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.