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Active NPI 1831181056 Individual Practitioner Male Practitioner

Dr. John M Stack , MD

Obstetrics & Gynecology • Willow Grove, PA

Professional Overview & Biography Verified Profile Summary

Dr. John Stack, MD is a registered healthcare professional specializing in Obstetrics & Gynecology in Willow Grove, PA. Practice services are available at 735 FITZWATERTOWN RD under active NPI credentials.

Frequently performed procedures and clinical services include cervical or vaginal cancer screening; pelvic and clinical breast examination, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

735 Fitzwatertown Rd
Suite 4

Willow Grove, PA 190901338

Telephone 2159144400
Fax 2156574887
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Obstetrics & Gynecology in Willow Grove, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Willow Grove, PA (2072 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
52 52 $69.00 $40.93
99213 Established patient office or other outpatient visit, typically 15 minutes
41 40 $118.00 $77.54

Medical Specialties & State Licenses

Obstetrics & Gynecology Primary Specialty

NUCC Taxonomy Code: 207V00000X

State License PA MD011031E

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00725447 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Vahideh Ameri , MD

Obstetrics & Gynecology

NPI 1043212574

Doctor of Medicine (M.D.)

Dr. Nisha Cohen , MD

Obstetrics & Gynecology

NPI 1265745251

Doctor of Medicine (M.D.)

Dr. Stuart Dershaw , MD

Obstetrics & Gynecology

NPI 1306848304

Doctor of Medicine (M.D.)

Dr. Laura Borthwick , MD

Obstetrics & Gynecology

NPI 1598740714

Doctor of Medicine (M.D.)

Dr. Jessica Kroes , MD

Obstetrics & Gynecology

NPI 1720421951

Doctor of Medicine (M.D.)

Maria Murphy , CRNP

Nurse Practitioner - Women's Health

NPI 1720812142

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2015

Registered at 735 FITZWATERTOWN RD, SUITE 4, WILLOW GROVE, PA 190901338 (Tel: 2159144400)

📍
Updated Business Mailing Address December 02, 2015

Registered at 735 FITZWATERTOWN RD, SUITE 4, WILLOW GROVE, PA 190901338 (Tel: 2159144400)

👤
Provider Name / Credentials Updated December 02, 2015

Recorded as JOHN STACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2015

Obstetrics & Gynecology (License #MD011031E in PA)

🟢
Initial NPI Registration & Enumeration August 16, 2005

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: 1831181056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2005
Last Update: December 02, 2015
Sole Proprietor: No

Mailing Address

735 Fitzwatertown Rd, Suite 4

Willow Grove, PA 190901338

Phone: 2159144400

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.