Active NPI 1639114887 Individual Practitioner Female Practitioner

Dr. Darlene M Stibal , MD

Surgery • Kilmarnock, VA

Professional Overview & Biography Verified Profile Summary

Dr. Darlene Stibal, MD is a registered healthcare professional specializing in Surgery in Kilmarnock, VA. Practice services are available at 95 HARRIS RD under active NPI credentials.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

95 Harris Rd

Kilmarnock, VA 224823845

Telephone 8044351609

Associated Practice Facility / Clinic

🏢 Northern Neck Surgical Services Facility NPI 1275586240

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kilmarnock, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Kilmarnock, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.1% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	23	$91.64	$37.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	30	$176.00	$68.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	38	$215.00	$71.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$318.00	$107.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$318.00	$108.23
45380 Biopsy of large bowel using an endoscope	14	14	$763.00	$192.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	169	$215.00	$69.90
17003 Destruction of precancer skin growth, 2-14 growths	82	17	$21.00	$5.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	69	$318.00	$107.97
45380 Biopsy of large bowel using an endoscope	62	62	$763.00	$183.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$318.00	$106.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	25	$114.00	$39.59
17000 Destruction of skin growth	37	21	$220.00	$58.62
99221 Initial hospital inpatient care per day, typically 30 minutes	35	31	$286.00	$101.89
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$220.00	$76.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$636.00	$191.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$504.00	$104.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$168.00	$45.18
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$636.00	$192.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$906.00	$264.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	303	200	$215.00	$69.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$318.00	$107.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	88	$318.00	$105.83
45380 Biopsy of large bowel using an endoscope	80	79	$763.00	$177.03
17003 Destruction of precancer skin growth, 2-14 growths	70	14	$21.00	$5.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	39	$114.00	$37.82
99221 Initial hospital inpatient care per day, typically 30 minutes	60	56	$286.00	$97.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	32	$636.00	$189.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	21	$168.00	$43.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$504.00	$97.74
17000 Destruction of skin growth	27	18	$220.00	$65.97
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$220.00	$74.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$906.00	$261.84
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$636.00	$189.23
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	12	$255.00	$94.66
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$636.00	$190.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	299	178	$215.00	$70.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	50	$114.00	$37.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$318.00	$105.54
17003 Destruction of precancer skin growth, 2-14 growths	89	17	$21.00	$5.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	74	$318.00	$104.97
45380 Biopsy of large bowel using an endoscope	80	80	$763.00	$183.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	45	$168.00	$43.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	48	48	$636.00	$188.21
17000 Destruction of skin growth	37	25	$220.00	$64.90
99221 Initial hospital inpatient care per day, typically 30 minutes	36	33	$286.00	$100.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$388.00	$131.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$504.00	$91.38
97597 Removal of tissue from wound, 20.0 sq cm or less	29	13	$170.00	$74.38
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$220.00	$72.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$207.00	$71.32
99238 Hospital discharge day management, 30 minutes or less	19	15	$204.00	$71.65
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$636.00	$188.98
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$305.00	$128.49

Medical Specialties & State Licenses

CMS Verified: 2021-01-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 32583

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101039978

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8980035 (NC)

Commercial Insurance / Payer ID Bcbsnc

80035 (NC)

Secondary Practice Locations

2006 Health Campus Dr Fl 2

Rockingham, VA 228018679

Phone: 5406895800

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. James Hamilton , MD

Obstetrics & Gynecology - Gynecology

NPI 1306893714

Doctor of Medicine (M.D.)

Dr. James Mccoig , MD

Orthopaedic Surgery

NPI 1437139078

Doctor of Medicine (M.D.)

Dr. Robert Poole , MD

Specialist

NPI 1619960952

Doctor of Medicine (M.D.)

Robert Damon

Physical Therapist

NPI 1639289374

Dr. David Antonio , MD

Orthopaedic Surgery

NPI 1750374005

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address January 18, 2022

Registered at 287 PINE REACH DR, KILMARNOCK, VA 224823721 (Tel: 7047017781)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2022

Surgery (License #0101039978 in VA)

✅

NPI Profile Active August 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2014

Registered at 95 HARRIS RD, KILMARNOCK, VA 224823845 (Tel: 8044351609)

📍

Updated Business Mailing Address August 05, 2014

Registered at 360 PINE REACH DR, KILMARNOCK, VA 224823728 (Tel: 7047017781)

👤

Provider Name / Credentials Updated August 05, 2014

Recorded as DARLENE STIBAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2014

Surgery (License #32583 in NC)

🟢

Initial NPI Registration & Enumeration June 19, 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: 1639114887

Entity Type:

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

Enumeration Date: June 19, 2006

Last Update: January 18, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

287 Pine Reach Dr

Kilmarnock, VA 224823721

Phone: 7047017781

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.