Active NPI 1376599654 Individual Practitioner Male Practitioner

Dr. John Stanton , DO

Emergency Medicine • Enterprise, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Stanton, DO is a certified Emergency Medicine practicing in Enterprise, AL. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Stanton delivers high-quality medical care to the local community at 100 CANDLEWOOD DR.

Dr. Stanton maintains professional affiliations with Newgen Alabama Billing Llc, Geneva County Healthcare Authority Inc, Northwest Emergency Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Candlewood Dr

Enterprise, AL 363308104

Telephone 2158029251

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Enterprise, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Enterprise, AL (724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stanton (36 Years) 36 Yrs

Enterprise Specialty Average (36.0 Years) 36.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	435	415	$1886.15	$164.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	343	318	$78.78	$7.60
99284 Emergency department visit with moderate level of medical decision making	159	157	$1404.81	$111.06
99291 Critical care, first 30-74 minutes	32	32	$4296.34	$196.43
99283 Emergency department visit with low level of medical decision making	26	24	$839.38	$67.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	359	345	$1669.65	$165.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	287	264	$82.53	$7.70
99284 Emergency department visit with moderate level of medical decision making	124	123	$1183.56	$112.91
99291 Critical care, first 30-74 minutes	38	38	$3308.74	$193.92
99283 Emergency department visit with low level of medical decision making	25	25	$753.16	$69.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	264	248	$1625.84	$174.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	141	131	$79.57	$8.05
99284 Emergency department visit with moderate level of medical decision making	102	101	$1080.25	$120.55
99283 Emergency department visit with low level of medical decision making	60	60	$581.83	$71.50
99291 Critical care, first 30-74 minutes	11	11	$2801.27	$213.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	621	581	$1448.24	$175.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	448	403	$74.95	$8.20
99284 Emergency department visit with moderate level of medical decision making	136	134	$970.01	$121.05
99283 Emergency department visit with low level of medical decision making	81	77	$603.93	$72.13
99282 Emergency department visit with straightforward medical decision making	19	19	$357.53	$42.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	519	483	$1478.69	$172.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	411	368	$75.90	$8.47
99284 Emergency department visit with moderate level of medical decision making	117	115	$1072.09	$117.37
99283 Emergency department visit with low level of medical decision making	61	61	$662.46	$65.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg	58	12	$0.40	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	52	13	$20.00	$0.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$141.81	$103.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	20	$30.00	$13.40
99282 Emergency department visit with straightforward medical decision making	19	19	$363.05	$43.83
99291 Critical care, first 30-74 minutes	15	14	$2066.67	$221.41
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	12	$150.00	$51.31
81002 Urinalysis, manual test	11	11	$10.00	$3.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$191.00	$157.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	479	440	$1426.45	$169.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	347	318	$75.37	$8.29
99284 Emergency department visit with moderate level of medical decision making	120	116	$1038.79	$111.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg	102	13	$0.40	$0.12
99283 Emergency department visit with low level of medical decision making	69	69	$640.51	$58.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	18	$30.00	$15.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$141.00	$101.72
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$93.00	$69.10
99282 Emergency department visit with straightforward medical decision making	12	12	$367.17	$40.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	505	476	$1308.23	$169.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	332	309	$71.17	$8.24
99284 Emergency department visit with moderate level of medical decision making	150	142	$980.07	$114.11
J0696 Injection, ceftriaxone sodium, per 250 mg	116	33	$20.00	$0.62
99283 Emergency department visit with low level of medical decision making	79	75	$611.90	$59.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	76	$141.58	$98.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	54	$30.00	$18.83
99213 Established patient office or other outpatient visit, typically 15 minutes	42	42	$93.00	$67.73
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	42	24	$8.00	$7.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$191.76	$149.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$21.00	$16.22
81002 Urinalysis, manual test	24	24	$10.00	$3.41
71046 X-ray of chest, 2 views	21	21	$88.00	$27.68
99282 Emergency department visit with straightforward medical decision making	18	18	$372.06	$40.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$118.00	$99.91
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$43.00	$16.20
99291 Critical care, first 30-74 minutes	14	14	$2193.57	$213.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	486	460	$1365.48	$168.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	332	306	$76.28	$8.19
99284 Emergency department visit with moderate level of medical decision making	163	157	$1021.61	$112.92
99283 Emergency department visit with low level of medical decision making	106	96	$597.67	$59.94
J0696 Injection, ceftriaxone sodium, per 250 mg	96	24	$20.00	$0.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	44	$30.00	$22.77
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	29	$8.00	$7.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	51	$141.00	$98.36
99291 Critical care, first 30-74 minutes	29	28	$2176.03	$213.43
99282 Emergency department visit with straightforward medical decision making	17	17	$368.65	$40.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$118.00	$97.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$191.00	$150.34
71020 X-ray of chest, 2 views, front and side	14	14	$88.00	$25.06

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License PA OS009171L

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.

Hospital & Practice Group Affiliations

Northwest Emergency Physician Group

1300 S Montgomery Ave, Sheffield, AL 356606367

Phone: 2563864196

Geneva County Healthcare Authority Inc

1200 W Maple Ave, Geneva, AL 363401642

Phone: 3346843655

Newgen Alabama Billing Llc

295 S Jackson St, Grove Hill, AL 364513231

Phone: 2512753191

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2016

Registered at 100 CANDLEWOOD DR, ENTERPRISE, AL 363308104 (Tel: 2158029251)

📍

Updated Business Mailing Address July 27, 2016

Registered at 100 CANDLEWOOD DR, ENTERPRISE, AL 363308104 (Tel: 2158029251)

👤

Provider Name / Credentials Updated July 27, 2016

Recorded as JOHN STANTON, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2016

Emergency Medicine (License #OS009171L in PA)

🟢

Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376599654

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 26, 2006

Last Update: July 27, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Candlewood Dr

Enterprise, AL 363308104

Phone: 2158029251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.