SUSAN A STAFFORD (MD) – Diagnostic Radiology Physician, NPI 1649221862
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
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Provider Addresses for SUSAN A STAFFORD (MD)
1227, Lowell Road, Concord, Middlesex County, Massachusetts, 01742, United States
CONCORD, MA 017425523
Phone: (508) 427-3106
Fax: (508) 427-3106
Type: Mailing
Good Samaritan Medical Center, 235, North Pearl Street, Brockton, Plymouth County, Massachusetts, 02301, United States
RADIOLOGY DEPARTMENT
BROCKTON, MA 023011794
Phone: (508) 427-3106
Fax: (508) 427-2538
Type: Location
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.
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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: 2004-05-20
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 |
|---|---|---|---|---|
| I20040520000776 | I | Diagnostic Radiology | MA | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 326 | 326 | $0 |
| 77063 | Screening 3d breast mammography | 325 | 325 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 109 | 105 | $0 |
| 71046 | X-ray of chest, 2 views | 108 | 107 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 94 | 90 | $0 |
Insurance plans in this area (ZIP 01742)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MA | 73110 | X-ray of wrist, minimum of 3 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | MA | 73562 | X-ray of knee, 3 views | 27 | 25 |
| DIAGNOSTIC RADIOLOGY | MA | 73630 | X-ray of foot, minimum of 3 views | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | MA | 74177 | CT scan of abdomen and pelvis with contrast | 105 | 103 |
| DIAGNOSTIC RADIOLOGY | MA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Interventional Radiology, Diagnostic Radiology | MA | |
| Interventional Radiology, Diagnostic Radiology | MA | |
| Nuclear Medicine, Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA |
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