STANFORD CONNOLLY TAYLOR (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1013250240
Retina Specialist (Ophthalmology) Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
396 OPHTHALMOLOGY in CO
Provider Addresses for STANFORD CONNOLLY TAYLOR (M.D.)
3711 Parker Blvd
Pueblo, CO 81008
Phone: (719) 473-9595
Fax: (719) 227-0669
Type: Location
10035 Pearl Pass Vw Ste 110
Colorado Springs, CO 809248223
Phone: (719) 473-9595
Fax: (719) 227-0669
Type: Location
2770 N UNION BLVD STE 140
COLORADO SPRINGS, CO 809091183
Phone: (719) 473-9595
Fax: (719) 227-0669
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $3,344.
Total Amount is formed as General ($3,344) + Research ($0) + Ownership ($0) = $3,344.
Last reported payment date: 2024-01-29 • Largest payer in this snapshot: US Retina LLC ($3,326).
Total Amount
$3,344
General + Research + Ownership
Payments
3
Total payment records
General Amount
$3,344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-01-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| US Retina LLC | $3,326 |
| ABBVIE INC. | $18 |
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: 2019-06-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190624000153 | I | Ophthalmology | CO | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 23,640 | 64 | $0 |
| 92134 | Imaging of retina | 2,766 | 915 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 1,766 | 177 | $0 |
| 67028 | Injection of drug into eye | 1,746 | 357 | $0 |
| J2778 | Injection, ranibizumab, 0.1 mg | 1,365 | 53 | $0 |
Insurance plans in this area (ZIP 81008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CO | |
| - | CO | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | CO | |
| O P H T H A L M O L O G Y | CO | |
| O P H T H A L M O L O G Y | CO | |
| O P H T H A L M O L O G Y | CO | |
| O P H T H A L M O L O G Y | CO |
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