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STANTON L LONGENECKER MD
NPI 1821092271
Orthopaedic Surgery - Sports Medicine in Jacksonville, FL

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
2 SHIRCLIFF WAY STE 300, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32204(904) 204-5000(904) 204-4000 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2019, Nov 17, 2015, Nov 12, 2015 (3 updates tracked since 2015).

About Stanton L Longenecker Md NPPES

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

STANTON L LONGENECKER MD (NPI 1821092271) is an individual sports medicine provider in Jacksonville, Florida, licensed in Florida (ME49077) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ed Fraser Memorial Hospital, and is a graduate of Tulane University School Of Medicine (1976).

NPPES Registry Identity

NPI1821092271
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameSTANTON L LONGENECKERCredential: MD
Location Address2 SHIRCLIFF WAY STE 300, CREDENTIALING DEPARTMENTJacksonville, FL 32204-4753
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893
Phone(904) 204-5000
Fax(904) 204-4000
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1976
Enumeration DateJune 13, 2005
Last NPPES UpdateAugust 1, 20193 updates tracked since enumeration
✔ NPI 1821092271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME49077
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME49077 (FL)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License ME49077 (FL)
2 SHIRCLIFF WAY STE 300, Jacksonville, FL 32204
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Other Identifiers 1

Medicaid062862000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Stanton L Longenecker 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 ID6507879574
PECOS Enrollment IDI20060714000092
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
620 services62 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
97 services67 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.
90 services71 patients
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.
29 services27 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
28 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Ed Fraser Memorial Hospital

Acute Care Hospitals · Macclenny, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100134
Location159 N 3rd StMacclenny, FL 32063 · Baker County
Emergency services

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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

WILBERT B PINO JR. MD
Orthopaedic Surgery
2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204
Duval County (904) 204-5000
DR. ASHIK SHRESTHA D.O.
Psychiatry & Neurology (Vascular Neurology)
2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204
Duval County (904) 308-7959
LYNNE H CONDERMAN APRN
Nurse Practitioner (Adult Health)
2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204
Duval County (904) 308-2006
MS. KATHERINE LANIER SHIBANI APRN
Nurse Practitioner (Acute Care)
2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204
Duval County (904) 308-7959
H. LYNN NORMAN M.D.
Orthopaedic Surgery
2 SHIRCLIFF WAY STE 300, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 388-1400
RICHARD R. GRIMSLEY MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204
Duval County (904) 204-5000
HANNAH M BOSGRAAF APRN
Nurse Practitioner (Family)
2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204
Duval County (904) 388-1820

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 Stanton Longenecker's NPI number?

The NPI number for Stanton Longenecker is 1821092271. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Stanton Longenecker located?

Stanton Longenecker practices at 2 Shircliff Way Ste 300 Credentialing Department, Jacksonville, FL 32204. The listed phone number is (904) 204-5000.

What is Stanton Longenecker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Stanton Longenecker enrolled in Medicare?

Yes. Stanton Longenecker 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 Stanton Longenecker accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Stanton Longenecker 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 Stanton Longenecker affiliated with any hospitals?

According to CMS data, Stanton Longenecker is affiliated with Ed Fraser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stanton Longenecker was last updated on August 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.