JOHN STANBACK (MD) – Family Medicine Physician, NPI 1629034764
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
941 FAMILY PRACTICE in MS
Provider Addresses for JOHN STANBACK (MD)
2400 5th St N
Columbus, MS 397052000
Phone: (662) 244-1705
Fax: (662) 244-1713
Type: Location
2104 5th St N
Columbus, MS 397052236
Phone: (662) 244-1705
Fax: (662) 244-1713
Type: Location
2600 5TH ST N
COLUMBUS, MS 397052010
Phone: (662) 244-2960
Fax: (662) 244-2964
Type: Location
350 N HUMPHREYS BLVD
MEMPHIS, TN 381202177
Phone: (901) 226-4003
Fax: (901) 227-8591
Type: Mailing
N, Montgomery Court, Buckeye Village, Columbus, Sharon, Franklin, Ohio, 43210, United States
COLUMBUS, MS 397052917
Phone: (662) 328-9702
Fax: (662) 328-0954
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $988.
Total Amount is formed as General ($988) + Research ($0) + Ownership ($0) = $988.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($218).
Total Amount
$988
General + Research + Ownership
Payments
61
Total payment records
General Amount
$988
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $218 |
| Janssen Pharmaceuticals, Inc | $163 |
| ABBVIE INC. | $102 |
| Novo Nordisk Inc | $98 |
| SANOFI-AVENTIS U.S. LLC | $76 |
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: 2010-10-05
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101005000933 | I | Family Practice | MS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,543 | 613 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,097 | 595 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 935 | 568 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 907 | 568 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 767 | 536 | $0 |
Insurance plans in this area (ZIP 39705)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MS | 20610 | Aspiration and/or injection of large joint or joint capsule | 116 | 85 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | NY | |
| N E U R O L O G Y | CT | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MS | |
| Internal Medicine | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | MS |
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