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DR. RAYMOND L STOVALL M.D.
NPI 1861402695
Internal Medicine in Lawrenceville, GA

Active since August 08, 2006PECOS Enrolled
600 PROFESSIONAL DR, SUITE 150, LAWRENCEVILLE, GA 30046(678) 376-1800(678) 376-5500 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raymond L Stovall M.d. NPPES

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

DR. RAYMOND L STOVALL M.D. (NPI 1861402695) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (025291) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861402695
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAYMOND L STOVALLCredential: M.D.
Location Address600 PROFESSIONAL DR, SUITE 150Lawrenceville, GA 30046-8717
Mailing Address600 Professional Dr, Suite 150Lawrenceville, GA 30046-8717 · (678) 376-1800 · Fax (678) 376-5500
Phone(678) 376-1800
Fax(678) 376-5500
Sole ProprietorYes
Enumeration DateAugust 8, 2006
Last NPPES UpdateDecember 15, 2009
✔ NPI 1861402695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 025291
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.
600 PROFESSIONAL DR, Lawrenceville, GA 30046
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Other Identifiers 16

Other743055533GA · Phcs
Other10659984294GA · Humana
Other52450038GA · Blue Cross
Other743055533GA · One Health
Other743055533GA · Ccn
Other743055533GA · United Heatlhcare
Other743055533GA · 743055533
Medicare UPIND30927GA
Other743055533GA · Healthstar
Other182686GA · Coventry
Other4031478GA · Aetna
Other743055533GA · Beechstreet
Other743055533GA · Capp Care
Other743055533GA · Lst Health
Medicare ID-Type Unspecified11BDWFRGA
Medicaid00282675BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Dr. Raymond L Stovall M.d. 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 30046 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%208 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%40 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,662 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%110 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%53 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%359 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%346 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%359 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%359 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%359 patients
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.

Other Providers at the Same Location NPPES 10

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

DR. YAZAN HOUSSAMI M.D.
Psychiatry & Neurology (Neurology)
600 PROFESSIONAL DR, STE 110
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-0555
DR. CORINNE F QUINN M.D.
Internal Medicine (Cardiovascular Disease)
600 PROFESSIONAL DR, 130
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 225-5678
RADIUS SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
600 PROFESSIONAL DR, SUITE 150
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 333-7888
AVVSC LAWRENCEVILLE, LLC
Clinic/Center (Ambulatory Surgical)
600 PROFESSIONAL DR, SUITE 160B
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 878-4555
ATLANTA VASCULAR AND VEIN CENTER, LLC
Clinic/Center (Medical Specialty)
600 PROFESSIONAL DR, SUITE 160A
LAWRENCEVILLE, GA 30046
Gwinnett County (973) 632-8372
DR. THERESA A B LAWRENCE-FORD M.D.
Internal Medicine (Rheumatology)
600 PROFESSIONAL DR, SUITE 260
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-1090
AVVC MEDICAL, LLC
Clinic/Center (Radiology)
600 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 878-4555
DR. AMISH TILARA M.D.
Radiology (Vascular & Interventional Radiology)
600 PROFESSIONAL DR, SUITE 160A
LAWRENCEVILLE, GA 30046
Gwinnett County (973) 632-8372

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 Raymond Stovall's NPI number?

The NPI number for Raymond Stovall is 1861402695. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Raymond Stovall located?

Raymond Stovall practices at 600 Professional Dr Suite 150, Lawrenceville, GA 30046. The listed phone number is (678) 376-1800.

What is Raymond Stovall's specialty?

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

Is Raymond Stovall enrolled in Medicare?

Yes. Raymond Stovall is registered in the Medicare PECOS enrollment system.

What insurance does Raymond Stovall accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Raymond Stovall 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 Raymond Stovall was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.