DR. JOHN L. STANLEY (MD) – Family Medicine Physician, NPI 1063499051

DR. JOHN L. STANLEY (MD) is a healthcare provider. based in Pembroke, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 70472 (MA). The NPI Number for DR. JOHN L. STANLEY (MD) is 1063499051

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN L. STANLEY (MD)
NPI
1063499051
Phone
(781) 826-8065
Address
28 RIVERSIDE DR
Enumeration Date
29 December 2005
Last Update Date
22 February 2008

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6172436000
Graduation Year
1987 (39 years ago)
PAC ID
0941249254
Group Practice PAC ID
0244133494
Professional Enrollment ID
I20050427000053
Address ID
MA024621607NE2014XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for DR. JOHN L. STANLEY (MD)

  • 28, Riverside Drive, Pembroke, Plymouth County, Massachusetts, 02359, United States

    PEMBROKE, MA 023591937

    Phone: (781) 826-8065

    Fax: (781) 826-8043

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050427000053IFamily PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample285210$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit184184$0
99214Established patient office or other outpatient visit, 30-39 minutes146130$0
93793Anticoagulant management of patient taking warfarin12311$0
99213Established patient office or other outpatient visit, 20-29 minutes122110$0
View full utilization report →

Insurance plans in this area (ZIP 02359)

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Provider's Procedures

DR. JOHN L. STANLEY (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA82270Stool analysis for blood to screen for colon tumors3737

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244133494View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. JOHN L. STANLEY (MD) in U.S. healthcare records?
The official identifier for DR. JOHN L. STANLEY (MD) is NPI 1063499051.
Is there an active status for DR. JOHN L. STANLEY (MD)?
For scheduling context, DR. JOHN L. STANLEY (MD) is shown as active in the registry.
What kind of doctor is DR. JOHN L. STANLEY (MD)?
DR. JOHN L. STANLEY (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JOHN L. STANLEY (MD) associated with Pembroke?
Public fields place DR. JOHN L. STANLEY (MD) around Pembroke, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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