JAMES KEITH II STANFORD (MD) – Otolaryngology Physician, NPI 1063866705

JAMES KEITH II STANFORD (MD) is a healthcare provider. based in Vicksburg, Mississippi. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. T-3219 (MS). The NPI Number for JAMES KEITH II STANFORD (MD) is 1063866705

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JAMES KEITH II STANFORD (MD)
NPI
1063866705
Phone
(601) 883-5000
Address
2100 Highway 61 N
Enumeration Date
19 April 2016
Last Update Date
28 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
9133412976
Group Practice PAC ID
5890696330
Professional Enrollment ID
I20210713003784
Address ID
MS391838246VI2200XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

93 OTOLARYNGOLOGY in MS

Provider Addresses for JAMES KEITH II STANFORD (MD)

  • 2100 Highway 61 N

    Vicksburg, MS 391838211

    Phone: (601) 883-5000

    Fax: (601) 883-3318

    Type: Location

  • University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    OTOLARYNGOLOGY DEPARTMENT

    JACKSON, MS 392164500

    Phone: (601) 984-5160

    Fax: (601) 984-5085

    Type: Mailing

  • PO BOX 689022

    FRANKLIN, TN 370689022

    Phone: (615) 465-7361

    Fax: (615) 628-6877

    Type: Mailing

  • 2200 HIGHWAY 61 N STE 2300

    VICKSBURG, MS 391838246

    Phone: (601) 883-3320

    Fax: (601) 883-3326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $378.

Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: GENZYME CORPORATION ($281).

Total Amount

$378

General + Research + Ownership

Payments

15

Total payment records

General Amount

$378

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2021-07-13

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
I20210713003784IOtolaryngologyMSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes392255$0
69210Removal of impacted ear wax375278$0
99203New patient office or other outpatient visit, 30-44 minutes207207$0
99212Established patient office or other outpatient visit, 10-19 minutes181139$0
99202New patient office or other outpatient visit, 15-29 minutes121121$0
View full utilization report →

Insurance plans in this area (ZIP 39183)

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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: 5890696330View full group profile

Reviews

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Frequently asked questions

Where can patients find JAMES KEITH II STANFORD (MD)'s NPI?
You can confirm JAMES KEITH II STANFORD (MD) with NPI 1063866705; it appears in the national provider directory.
Is JAMES KEITH II STANFORD (MD) active in the national directory?
JAMES KEITH II STANFORD (MD)'s public NPI profile is in an active state.
What field does JAMES KEITH II STANFORD (MD) work in?
You can think of JAMES KEITH II STANFORD (MD) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for JAMES KEITH II STANFORD (MD)?
We surface Vicksburg, Mississippi for JAMES KEITH II STANFORD (MD) based on available NPPES addresses.
What if Vicksburg, Mississippi seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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