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FREDERICK STANSBURY D.O,
NPI 1699098251
Internal Medicine in Denville, NJ

Active since March 10, 2010PECOS Enrolled
62.9/100
CMS Quality Rating
16 POCONO RD, SUITE 313, DENVILLE, NJ 07834(973) 625-0112 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick Stansbury D.o, NPPES

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

FREDERICK STANSBURY D.O, (NPI 1699098251) is an individual internal medicine provider in Denville, New Jersey, licensed in New Jersey (25 MB05536000) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699098251
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFREDERICK STANSBURYCredential: D.O,
Location Address16 POCONO RD, SUITE 313Denville, NJ 07834-2901
Mailing Address16 Pocono Rd Ste 311Denville, NJ 07834-2908 · (973) 722-6960 · Fax (888) 685-8803
Phone(973) 625-0112
Sole ProprietorYes
Enumeration DateMarch 10, 2010
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1699098251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25 MB05536000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16 POCONO RD, Denville, NJ 07834
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick Stansbury D.o, 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.

Areas of Expertise CMS Part B claims 9

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
314 services153 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
187 services91 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
82 services68 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
68 services68 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
64 services27 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
31 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07834 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

62.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality48.33
Improvement Activities40
Cost26.26

Reported Quality Measures

Controlling High Blood Pressure
54%28 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%569 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%77 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%296 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 23% · 95 patients
22%95 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 14% · 201 patients
Patients totalRate: 14% · 201 patients
7%201 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
12 suppliers29 claims59 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers19 claims20 services$1.06 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers19 claims570 services$4.29 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers19 claims7,302 services$0.26 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
2 suppliers33 claims33 services$10.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers39 claims39 services$41.96 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 20

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

ALANA M SCORZO APRN, FNP-BC
Nurse Practitioner (Family)
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 586-3700
DR. MICHAEL GERARD GIRONTA DO
Internal Medicine
16 POCONO RD, SUITE 313
DENVILLE, NJ 07834
Morris County (973) 625-0112
CHARLES ROBERT BUSHONG JR. M.D.
Pediatrics
16 POCONO RD, SUITE 214
DENVILLE, NJ 07834
Morris County (973) 627-6129
LAKELAND UROLOGY L L C
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
ASSOCIATES IN PULMONARY MEDICINE PA
Internal Medicine (Pulmonary Disease)
16 POCONO RD, 217
DENVILLE, NJ 07834
Morris County (800) 750-8616
DIAMOND SPRING DENTAL ASSOCIATES PA
Dentist
16 POCONO RD, SUITE 116
DENVILLE, NJ 07834
Morris County (973) 627-1220
DR. VINCENT CUBELLI M.D.
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
DR. CEM S. OMAY M.D.
Obstetrics & Gynecology
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 627-1400

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 Frederick Stansbury's NPI number?

The NPI number for Frederick Stansbury is 1699098251. It was assigned to this individual provider in the NPPES registry on March 10, 2010.

Where is Frederick Stansbury located?

Frederick Stansbury practices at 16 Pocono Rd Suite 313, Denville, NJ 07834. The listed phone number is (973) 625-0112.

What is Frederick Stansbury's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Frederick Stansbury enrolled in Medicare?

Yes. Frederick Stansbury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederick Stansbury was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.