GREGORY LEE STAFFORD (PA-C) – Physician Assistant, NPI 1922053164
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for GREGORY LEE STAFFORD (PA-C)
1502 N Jefferson St
Attn: Jean Steele
Carrollton, MO 646331948
Phone: (660) 542-9998
Fax: (660) 542-9880
Type: Location
300 Rockefeller Dr
Muskogee, OK 744015075
Phone: (918) 502-1900
Fax: (918) 494-6303
Type: Location
10501 E 91st St
Tulsa, OK 741335790
Phone: (918) 502-1900
Fax: (918) 494-6303
Type: Location
1 Hospital Dr
Columbia, MO 652120001
Phone: (573) 882-8091
Fax: (573) 884-1902
Type: Location
7858 S Olympia Ave
Tulsa, OK 741321857
Phone: (918) 986-9250
Fax: (918) 986-9205
Type: Location
6160 S Yale Ave
Tulsa, OK 741361930
Phone: (918) 495-2600
Fax: (918) 497-3007
Type: Location
102 S Main St
Sand Springs, OK 740636509
Phone: (918) 246-5750
Fax: (918) 246-5714
Type: Location
2950 S Elm Pl Ste 120
Broken Arrow, OK 740127816
Phone: (918) 451-5191
Fax: (918) 246-5714
Type: Location
1801 E Kenosha St
Broken Arrow, OK 740122098
Phone: (918) 499-4150
Fax: (918) 499-4107
Type: Location
10506 S Memorial Dr
Tulsa, OK 741336914
Phone: (918) 943-1050
Fax: (918) 369-3209
Type: Location
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone: (888) 247-0125
Fax: (918) 502-8210
Type: Mailing
6161 S YALE AVE
TULSA, OK 741361902
Phone: (918) 502-1900
Fax: (918) 494-6303
Type: Location
Carroll County Memorial Hospital, 1502, North Jefferson Street, Carrollton, Carroll County, Missouri, 64633, United States
ATTN: JEAN STEELE
CARROLLTON, MO 646331948
Phone: (660) 542-9998
Fax: (660) 542-9880
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-05-09 • Largest payer in this snapshot: ABBVIE INC. ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $31 |
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: 2023-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230428000359 | I | Physician Assistant | OK | TBD |
| I20231107002058 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 33 | 32 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 24 | 24 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15 | 15 | $0 |
Insurance plans in this area (ZIP 64633)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 32 | 30 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Family Practice, Emergency Medicine | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | TX | |
| Physician Assistant | OK | |
| Nurse Practitioner | CO | |
| Physician Assistant | OK |
Reviews
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