JOHN M. STAFFORD (MD) – Family Medicine Physician, NPI 1730182247

JOHN M. STAFFORD (MD) is a healthcare provider. based in Saint joseph, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301044515 (MI). The NPI Number for JOHN M. STAFFORD (MD) is 1730182247

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M. STAFFORD (MD)
NPI
1730182247
Phone
(269) 428-2552
Address
3800 HOLLYWOOD RD STE 101
Enumeration Date
30 May 2005
Last Update Date
27 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2694282552
Graduation Year
1979 (47 years ago)
PAC ID
8325107659
Group Practice PAC ID
1951460286
Professional Enrollment ID
I20081031000426
Address ID
MI490858511SA3800XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for JOHN M. STAFFORD (MD)

  • Hollywood Road, Saint Joseph Charter Township, Berrien County, Michigan, 49085, United States

    ROYALTON MEDICAL CENTER

    SAINT JOSEPH, MI 490858511

    Phone: (269) 428-2552

    Fax: (269) 428-2943

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $1,669.

Total Amount is formed as General ($1,669) + Research ($0) + Ownership ($0) = $1,669.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($188).

Total Amount

$1,669

General + Research + Ownership

Payments

90

Total payment records

General Amount

$1,669

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-10-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081031000426IFamily PracticeMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes345144$0
36415Insertion of needle into vein for collection of blood sample10283$0
99215Established patient office or other outpatient visit, 40-54 minutes8459$0
99213Established patient office or other outpatient visit, 20-29 minutes6149$0
83036Hemoglobin a1c level4729$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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Provider's Procedures

JOHN M. STAFFORD (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI83036Hemoglobin A1C level13176
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle4747

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951460286View full group profile
NameSpecialtyState
Physician AssistantIN
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does JOHN M. STAFFORD (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN M. STAFFORD (MD) uses 1730182247.
Is JOHN M. STAFFORD (MD) still practicing?
JOHN M. STAFFORD (MD) is currently listed as active in the public NPI registry.
What healthcare role does JOHN M. STAFFORD (MD) hold?
Scheduling teams often label JOHN M. STAFFORD (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN M. STAFFORD (MD) based?
JOHN M. STAFFORD (MD) is tied to Saint Joseph, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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