JOHNDAVID MAZICH STORN MD
NPI 1710418397
Emergency Medicine in Lebanon, NH

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment
ONE MEDICAL CENTER DR., LEBANON, NH 03756(603) 650-7254 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2022, Jan 27, 2022, May 25, 2021 and 3 more (6 updates tracked since 2017).

About Johndavid Mazich Storn Md NPPES

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

JOHNDAVID MAZICH STORN MD (NPI 1710418397) is an individual emergency medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (20519) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Brattleboro.

NPPES Registry Identity

NPI1710418397
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHNDAVID MAZICH STORNCredential: MD
Location AddressONE MEDICAL CENTER DR.Lebanon, NH 03756-0001
Mailing AddressOne Medical Center Dr.Lebanon, NH 03756-0001 · (603) 650-7254
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2017
Enumeration DateMarch 24, 2017
Last NPPES UpdateApril 13, 20226 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1710418397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NH · 20519✔ Licensed in VT · 042.0015510
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
ONE MEDICAL CENTER DR., Lebanon, NH 03756

Secondary Practice Location 1

Location 117 Belmont Ave Ste 1Brattleboro, VT 05301-3498 · Phone (802) 257-0341

Other Identifiers 2

Medicaid3122708NH
Medicaid6703741VT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johndavid Mazich Storn Md 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 ID244501732
PECOS Enrollment IDI20200529001655
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 Reassignments

6

Medicare enrollment records show Johndavid Storn reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1 MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
Internal Medicine
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
Urgent Care
5 ALICE PECK DAY DR
Lebanon, NH 03766
  • Reassigned Medicare billing, New Hampshire enrollment
  • 283 clinicians in this Medicare group
Ambulance
273 COUNTY RD
New London, NH 03257
  • Reassigned Medicare billing, New Hampshire enrollment
  • Also billed through NPI 1831200583 (New Hampshire)
  • 141 clinicians in this Medicare group
Internal Medicine
32 PLEASANT ST
Woodstock, VT 05091
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1841287984 (Vermont), NPI 1558358747 (Vermont)
  • 101 clinicians in this Medicare group
General Acute Care Hospital
17 BELMONT AVE
Brattleboro, VT 05301
  • Reassigned Medicare billing, Vermont enrollment
  • 101 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
80 services79 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 6

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

Physical Medicine & Rehabilitation
ONE MEDICAL CENTER DR., DHMC - DEPARTMENT OF PAIN MEDICINE
LEBANON, NH 03756
Nurse Practitioner (Psychiatric/Mental Health)
ONE MEDICAL CENTER DR.
LEBANON, NH 03756
Nurse Practitioner
ONE MEDICAL CENTER DR., DEPARTMENT OF ORTHOPAEDICS
LEBANON, NH 03756
Otolaryngology (Otology & Neurotology)
ONE MEDICAL CENTER DR., DHMC DIVISION OF OTOLARYNOGLOGY
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
ONE MEDICAL CENTER DR.
LEBANON, NH 03756
Anesthesiology
ONE MEDICAL CENTER DR., DHMC, DEPARTMENT OF ANESTHESIOLOGY
LEBANON, NH 03756

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 Johndavid Storn's NPI number?

The NPI number for Johndavid Storn is 1710418397. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Johndavid Storn located?

Johndavid Storn practices at One Medical Center Dr., Lebanon, NH 03756. The listed phone number is (603) 650-7254.

What is Johndavid Storn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Johndavid Storn enrolled in Medicare?

Yes. Johndavid Storn 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.

Which organizations bill Medicare for Johndavid Storn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johndavid Storn reassigns Medicare benefits to 6 organizations: Mary Hitchcock Memorial Hospital (Lebanon, NH), Dartmouth-Hitchcock Clinic (Lebanon, NH), Alice Peck Day Memorial Hospital (Lebanon, NH), The New London Hospital Association, Inc. (New London, NH), Windsor Hospital Corporation (Woodstock, VT) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johndavid Storn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Johndavid Storn affiliated with any hospitals?

According to CMS data, Johndavid Storn is affiliated with Mary Hitchcock Memorial Hospital and New London Hospital.

When was this NPI record last updated?

The NPPES record for Johndavid Storn was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.