Ronald J Stanley, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18060 Issued in NC

Practice address

169 Birch St
Boone, NC 28607-5069

Phone

(828) 264-4553

Fax

(828) 262-3649

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of North Carolina at Chapel Hill School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boone Dermatology ClinicGroup PAC ID 8224062666, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.3 of 100Reported as group

Quality

66

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boone Dermatology Clinic

  • Dermatology Physician
  • Boone, NC
  • NPI 1417913260
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1225037302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BIRCH ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075069",
            "telephone_number": "828-264-4553",
            "fax_number": "828-262-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 BIRCH ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075069",
            "telephone_number": "828-264-4553",
            "fax_number": "828-262-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "18060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8979292",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Scott St Clair, MD
• John N Stacy, RPH
• Sharon Kane Stafford, M.D.
• Stephanie H Stallings, SLP
• Andrew Stankevich, WIP-C
• Richard Rey Stark, M.D.
• Jammie M. Starr, LCSW
• Cordelia R Stearns, M.D., AAHIVS
• Emily Anne Steffen, M.S
• Marshall Jay Stein, MD

• Dermatology Physician in Boone, NC
• Providers in Boone, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.