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STANLEY J. KOTARA PA
NPI 1699738302
Physician Assistant in Lubbock, TX

Active since April 11, 2006PECOS Enrolled
4110 22ND PL, LUBBOCK, TX 79410(806) 792-4329(806) 792-9466 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stanley J. Kotara Pa NPPES

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

STANLEY J. KOTARA PA (NPI 1699738302) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA03194) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699738302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTANLEY J. KOTARACredential: PA
Location Address4110 22ND PLLubbock, TX 79410-1122
Mailing Address4110 22nd PlLubbock, TX 79410-1122 · (806) 792-4329 · Fax (806) 792-9466
Phone(806) 792-4329
Fax(806) 792-9466
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1699738302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA03194
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4110 22ND PL, Lubbock, TX 79410
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Other Identifiers 2

Other8Y8601TX · Blue Cross
Medicare PIN8L2033TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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)

Stanley J. Kotara Pa 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 79410 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 20

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

DR. STEPHEN ARCHIE CORD M.D.
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
MR. JEREMY DAVIS L.A.T.
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
DR. JORDAN BRENT SIMPSON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
TYLER ROBERTS MSN, APRN, FNP-C
Nurse Practitioner (Family)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
CHARITY RENEE PURSER FNP
Nurse Practitioner
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 797-4985
ERICA MARIE KELLY ATC
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
ROXANA MORENO
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
DR. KEVIN CRAWFORD M.D.
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329

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 Stanley Kotara's NPI number?

The NPI number for Stanley Kotara is 1699738302. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Stanley Kotara located?

Stanley Kotara practices at 4110 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 792-4329.

What is Stanley Kotara's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stanley Kotara enrolled in Medicare?

Yes. Stanley Kotara is registered in the Medicare PECOS enrollment system.

What insurance does Stanley Kotara accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Stanley Kotara 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 Stanley Kotara was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.