JOHN CHARLES STEIN JR. MD
NPI 1942284898
Emergency Medicine in Novato, CA

Q: What is John Stein's NPI number?

The NPI number for John Stein is 1942284898. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is John Stein's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Stein was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

180 ROWLAND WAY, NOVATO, CA 94945(209) 342-2300(209) 524-4240 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About John Charles Stein Jr. Md NPPES

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

JOHN CHARLES STEIN JR. MD (NPI 1942284898) is an individual emergency medicine provider in Novato, California, licensed in California (A68197) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1997).

NPPES Registry Identity

NPI1942284898

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJOHN CHARLES STEIN JR.Credential: MD

Location Address180 ROWLAND WAYNovato, CA 94945-5009

Mailing Address4301 North Star WayModesto, CA 95356 · (209) 342-2300 · Fax (209) 524-4240

Phone(209) 342-2300

Fax(209) 524-4240

Sole ProprietorNo

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1997

Enumeration DateDecember 5, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942284898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A68197

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.

180 ROWLAND WAY, Novato, CA 94945

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Other Identifiers 4

Medicare UPINH44045

Medicaid00A681970CA

Medicare ID-Type Unspecified00A681975CA

Other00A681970CA · Blue Shield

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

John Charles Stein Jr. 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 ID8628029634

PECOS Enrollment IDI20050208000273

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 5

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.

628 services593 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.

361 services352 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

288 services265 patients

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.

97 services97 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

57 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

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

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114

DME-Other DME · category DE000N

1 supplier21 claims21 services$43.01 avg. paid by Medicare

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660

DME-Orthotic Devices · category DF000N

1 supplier48 claims48 services$90.26 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier12 claims12 services$240.91 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 20

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

DR. RANJIT SINGH HUNDAL M.D.

Internal Medicine

180 ROWLAND WAY, NOVATO COMMUNITY HOSPITAL 180 ROWLAND WAY
NOVATO, CA 94945

Marin County (415) 209-1300

DR. KEVIN LEE JUNUS DO

Radiology (Diagnostic Radiology)