JASON CHARLES STANFORD (P.A.-C) – Surgical Physician Assistant, NPI 1003093667
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,391 PHYSICIAN ASSISTANT in MD
Provider Addresses for JASON CHARLES STANFORD (P.A.-C)
19466, Caravan Drive, Liberty Heights, Germantown, Montgomery County, Maryland, 20874, United States
GERMANTOWN, MD 208746220
Phone: (301) 528-0868
Type: Mailing
61 Thomas Johnson Dr
Frederick, MD 217024301
Phone: (301) 663-6171
Fax: (301) 695-4469
Type: Location
8110 MAPLE LAWN BLVD STE 235
FULTON, MD 207592694
Phone: (301) 340-8339
Type: Mailing
18014 BLISS DR
POOLESVILLE, MD 208372401
Phone: (214) 227-2457
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $1,057.
Total Amount is formed as General ($1,057) + Research ($0) + Ownership ($0) = $1,057.
Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,057).
Total Amount
$1,057
General + Research + Ownership
Payments
7
Total payment records
General Amount
$1,057
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,057 |
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: 2010-04-16
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 |
|---|---|---|---|---|
| I20100416000796 | I | Physician Assistant | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20874)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| - | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD |
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