GREGORY LEE STAFFORD (PA-C) – Physician Assistant, NPI 1922053164

GREGORY LEE STAFFORD (PA-C) is a healthcare provider. based in Carrollton, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2002012315 (MO). The NPI Number for GREGORY LEE STAFFORD (PA-C) is 1922053164

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY LEE STAFFORD (PA-C)
NPI
1922053164
Phone
(660) 542-9998
Address
1502 N Jefferson St
Enumeration Date
24 May 2006
Last Update Date
19 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9188257555
Graduation Year
2020 (6 years ago)
PAC ID
5395787345
Group Practice PAC ID
6608393715
Professional Enrollment ID
I20230428000359
Address ID
OK743619192PR4115XREDD200

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

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

CompanyAmount
ABBVIE INC.$31
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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230428000359IPhysician AssistantOKTBD
I20231107002058IPhysician AssistantTXTBD

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
99284Emergency department visit with moderate level of medical decision making3332$0
99283Emergency department visit with low level of medical decision making2424$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1515$0
View full utilization report →

Insurance plans in this area (ZIP 64633)

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Provider's Procedures

GREGORY LEE STAFFORD (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3230

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: 6608393715View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Family Practice, Emergency MedicineOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantTX
Physician AssistantOK
Nurse PractitionerCO
Physician AssistantOK

Reviews

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Frequently asked questions

Where can patients find GREGORY LEE STAFFORD (PA-C)'s NPI?
You can confirm GREGORY LEE STAFFORD (PA-C) with NPI 1922053164; it appears in the national provider directory.
Is GREGORY LEE STAFFORD (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does GREGORY LEE STAFFORD (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for GREGORY LEE STAFFORD (PA-C). Clinical services aligned with this taxonomy classification.
Does GREGORY LEE STAFFORD (PA-C) practice in Missouri?
You will see Carrollton, Missouri on file for GREGORY LEE STAFFORD (PA-C) alongside any extra practice locations.
Is GREGORY LEE STAFFORD (PA-C) a real provider?
This page reflects official NPPES data for NPI 1922053164. Always confirm identity and privileges with the practice and licensing boards.

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