JUSTIN N STAFFORD (PA-C) – Physician Assistant, NPI 1700074069

JUSTIN N STAFFORD (PA-C) is a healthcare provider. based in Cleveland, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50002643 (OH). The NPI Number for JUSTIN N STAFFORD (PA-C) is 1700074069

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN N STAFFORD (PA-C)
NPI
1700074069
Phone
(216) 476-7312
Address
18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL
Enumeration Date
11 October 2007
Last Update Date
28 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4405425023
Graduation Year
2007 (19 years ago)
PAC ID
5294821310
Group Practice PAC ID
8426272923
Professional Enrollment ID
I20071019000321
Address ID
OH441431116RI27100RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for JUSTIN N STAFFORD (PA-C)

  • Fairview Hospital, 18101, Lorain Avenue, Kamms Corners, Cleveland, Cuyahoga County, Ohio, 44111, United States

    EMERGENCY SERVICES

    CLEVELAND, OH 441115612

    Phone: (216) 476-7312

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-10-19

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
I20071019000321IPhysician AssistantOHTBD

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 making2322$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1614$0
99285Emergency department visit with high level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 44111)

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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: 8426272923View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Critical Care (Intensivists), AnesthesiologyOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify JUSTIN N STAFFORD (PA-C) with an NPI only?
You can start verification with NPI 1700074069 for JUSTIN N STAFFORD (PA-C), then check state licensing separately.
Is JUSTIN N STAFFORD (PA-C) still practicing?
JUSTIN N STAFFORD (PA-C) is currently listed as active in the public NPI registry.
What is JUSTIN N STAFFORD (PA-C) best known for clinically?
Directory data describes JUSTIN N STAFFORD (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JUSTIN N STAFFORD (PA-C) list a practice location?
Patients near Cleveland, Ohio may find JUSTIN N STAFFORD (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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