CARL E STAFSTROM (MD PHD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1912979196
Neurology with Special Qualifications in Child Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
633 NEUROLOGY in MD
Loading map...
Provider Addresses for CARL E STAFSTROM (MD PHD)
PO BOX 64227
BALTIMORE, MD 212644264
Phone:
Type: Mailing
Rubenstein Child Health Building, 200, North Wolfe Street, Butchers Hill, Baltimore, Maryland, 21231, United States
BALTIMORE, MD 212870011
Phone: (410) 955-4259
Type: Location
6201 GREENLEIGH AVE
BALTIMORE, MD 212202004
Phone: (410) 933-1340
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $9,863.
Total Amount is formed as General ($9,863) + Research ($0) + Ownership ($0) = $9,863.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($9,863).
Total Amount
$9,863
General + Research + Ownership
Payments
10
Total payment records
General Amount
$9,863
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $9,863 |
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: 2014-06-26
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 |
|---|---|---|---|---|
| I20140626000453 | I | Neurology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 15 | 15 | $0 |
Insurance plans in this area (ZIP 21264)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | MD | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| O T O L A R Y N G O L O G Y | TX | |
| Clinical Psychologist | MD | |
| Physician Assistant | MD | |
| Physician Assistant | MD | |
| O P H T H A L M O L O G Y | MD | |
| Pulmonary Disease, Internal Medicine | MD | |
| A N E S T H E S I O L O G Y | MD | |
| - | MD | |
| Emergency Medicine, Internal Medicine | MD |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.