DAVID GRANT STAINBROOK JR. D.O.
NPI 1659438562
Internal Medicine - Rheumatology in Du Bois, PA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
621 S MAIN ST, DU BOIS, PA 15801(814) 371-2197(814) 371-4837 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Mar 6, 2026, Jan 8, 2021 (3 updates tracked since 2021).

About David Grant Stainbrook Jr. D.o. NPPES

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

DAVID GRANT STAINBROOK JR. D.O. (NPI 1659438562) is an individual rheumatology provider in Du Bois, Pennsylvania, licensed in Pennsylvania (OS013804) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1659438562
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDAVID GRANT STAINBROOK JR.Credential: D.O.
Location Address621 S MAIN STDu Bois, PA 15801-1413
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232
Fax(814) 371-4837
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1991
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1659438562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in PA · OS013804
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
621 S MAIN ST, Du Bois, PA 15801

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

David Grant Stainbrook Jr. D.o. 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 ID6507852746
PECOS Enrollment IDI20100223000524
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 5

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.
142 services110 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

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.

Nurse Practitioner
621 S MAIN ST
DU BOIS, PA 15801
Internal Medicine (Gastroenterology)
621 S MAIN ST
DU BOIS, PA 15801
Physician Assistant (Medical)
621 S MAIN ST
DU BOIS, PA 15801
Pharmacist
621 S MAIN ST
DU BOIS, PA 15801
Nurse Practitioner
621 S MAIN ST
DU BOIS, PA 15801
Nurse Practitioner (Family)
621 S MAIN ST
DU BOIS, PA 15801
Internal Medicine (Gastroenterology)
621 S MAIN ST
DU BOIS, PA 15801
Pharmacy (Community/Retail Pharmacy)
621 S MAIN ST
DU BOIS, PA 15801

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 David Stainbrook's NPI number?

The NPI number for David Stainbrook is 1659438562. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is David Stainbrook located?

David Stainbrook practices at 621 S Main St, Du Bois, PA 15801. The listed phone number is (814) 371-2197.

What is David Stainbrook's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is David Stainbrook enrolled in Medicare?

Yes. David Stainbrook 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 David Stainbrook accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list David Stainbrook 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.

Is David Stainbrook affiliated with any hospitals?

According to CMS data, David Stainbrook is affiliated with Genesis Hospital, Avita Ontario, Bucyrus Community Hospital, Galion Community Hospital and Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for David Stainbrook was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.