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ROBERT C STANSBURY M.D.
NPI 1871756247
Internal Medicine - Pulmonary Disease in Morgantown, WV

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
205 BAKERS RIDGE RD, MORGANTOWN, WV 26508(304) 598-4455 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2022, Oct 10, 2016 (2 updates tracked since 2016).

About Robert C Stansbury M.d. NPPES

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

ROBERT C STANSBURY M.D. (NPI 1871756247) is an individual pulmonary disease provider in Morgantown, West Virginia, licensed in West Virginia (24049) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (2007).

NPPES Registry Identity

NPI1871756247
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameROBERT C STANSBURYCredential: M.D.
Location Address205 BAKERS RIDGE RDMorgantown, WV 26508-1500
Mailing Address205 Bakers Ridge RdMorgantown, WV 26508-1500 · (304) 598-4455
Phone(304) 598-4455
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2007
Enumeration DateJuly 7, 2008
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1871756247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WV · 24049
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License R1601 (KY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 24049 (WV)
205 BAKERS RIDGE RD, Morgantown, WV 26508
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Other Identifiers 1

Medicaid3810027085WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Robert C Stansbury M.d. 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 ID2466596770
PECOS Enrollment IDI20140430001635
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services23 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.
31 services29 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
29 services29 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
27 services27 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services15 patients

Hospital Affiliations CMS Care Compare 3

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26508 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers98 claims98 services$38.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
25 suppliers203 claims203 services$93.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
25 suppliers197 claims446 services$38.00 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers69 claims334 services$19.07 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers57 claims213 services$13.80 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
22 suppliers135 claims135 services$57.28 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 6

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

KRISTIN INDERMUHLE NP-C
Nurse Practitioner
205 BAKERS RIDGE RD
MORGANTOWN, WV 26508
Monongalia County (304) 598-4285
WEST VIRGINIA UNIVERSITY HOSPITALS INC
Clinic/Center (Sleep Disorder Diagnostic)
205 BAKERS RIDGE RD
MORGANTOWN, WV 26508
Monongalia County (304) 598-4285
SLEEP EVALUATION CENTER - WVU
Psychiatry & Neurology (Sleep Medicine)
205 BAKERS RIDGE RD
MORGANTOWN, WV 26508
Monongalia County (304) 598-4285
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Internal Medicine (Pulmonary Disease)
205 BAKERS RIDGE RD
MORGANTOWN, WV 26508
Monongalia County (045) 984-2853
SYDNEY ROBBA HIGH OTR/L
Occupational Therapist
205 BAKERS RIDGE RD
MORGANTOWN, WV 26508
Monongalia County (304) 598-4300
NICOLE SHANNON M.S., CCC-SLP
Speech-Language Pathologist
205 BAKERS RIDGE RD
MORGANTOWN, WV 26508
Monongalia County (304) 598-4300

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 Robert Stansbury's NPI number?

The NPI number for Robert Stansbury is 1871756247. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Robert Stansbury located?

Robert Stansbury practices at 205 Bakers Ridge Rd, Morgantown, WV 26508. The listed phone number is (304) 598-4455.

What is Robert Stansbury's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Robert Stansbury enrolled in Medicare?

Yes. Robert Stansbury 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 Robert Stansbury accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Robert Stansbury 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 Robert Stansbury affiliated with any hospitals?

According to CMS data, Robert Stansbury is affiliated with West Virginia University Hospitals, Inc, Potomac Valley Hospital and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Stansbury was last updated on April 15, 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.