Active NPI 1144201278 Individual Practitioner Male Practitioner

Dr. Edward Spires Stanton , MD

Surgery • Low Moor, VA

Professional Overview & Biography Verified Profile Summary

Dr. Edward Stanton, MD is a registered healthcare professional specializing in Surgery in Low Moor, VA. Practice services are available at 1 ARH LANE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Arh Lane
Suite 202b

Low Moor, VA 24457

Telephone 5408627181

Associated Practice Facility / Clinic

🏢 Alleghany General & Bariatric Services Llc Facility NPI 1215970991

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Low Moor, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Low Moor, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.4% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	37	$111.62	$69.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	13	$80.81	$37.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$79.18	$42.53
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$186.80	$97.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$179.76	$102.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$273.92	$156.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	40	$105.40	$68.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	38	$75.27	$41.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$169.96	$99.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	20	$77.55	$37.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$257.79	$150.81
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$131.82	$70.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$158.57	$101.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$667.06	$94.92
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$908.27	$173.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	38	$73.87	$40.63
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$99.29	$68.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$167.93	$101.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$252.43	$154.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$146.42	$101.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$73.89	$37.50
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$118.00	$70.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$516.88	$109.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	15	$128.00	$69.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$104.00	$48.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$168.00	$68.77
45380 Biopsy of large bowel using an endoscope	13	13	$993.00	$196.13

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101236472

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 NC 27858

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 061521

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1144201278 (VA)

Medicaid State Provider ID

8979324 (NC)

Commercial Insurance / Payer ID Blue Cross Blue Shield

79324 (NC)

Commercial Insurance / Payer ID Railroad Medicare

P00338174

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jeffrey Kang , MD

Surgery

NPI 1710963871

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2012

Registered at 1 ARH LANE, SUITE 202B, LOW MOOR, VA 24457 (Tel: 5408627181)

📍

Updated Business Mailing Address September 28, 2012

Registered at 1 ARH LANE, SUITE 202B, LOW MOOR, VA 24457 (Tel: 5408627181)

👤

Provider Name / Credentials Updated September 28, 2012

Recorded as EDWARD STANTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Surgery (License #0101236472 in VA)

🟢

Initial NPI Registration & Enumeration November 07, 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: 1144201278

Entity Type:

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

Enumeration Date: November 07, 2005

Last Update: September 28, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Arh Lane, Suite 202b

Low Moor, VA 24457

Phone: 5408627181

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.