DR. STEPHANIE ELNORA STAFFORD (DO MPH) – Family Medicine Physician, NPI 1720031321

DR. STEPHANIE ELNORA STAFFORD (DO MPH) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO MPH. They hold a License No. M9027 (TX). The NPI Number for DR. STEPHANIE ELNORA STAFFORD (DO MPH) is 1720031321

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHANIE ELNORA STAFFORD (DO MPH)
NPI
1720031321
Phone
(805) 471-3666
Address
1122 JACKSON ST UNIT #407
Enumeration Date
18 May 2006
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9728844160
Graduation Year
1998 (28 years ago)
PAC ID
6507820792
Group Practice PAC ID
8224920228
Professional Enrollment ID
I20041117000574
Address ID
TX750829705RI3413XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. STEPHANIE ELNORA STAFFORD (DO MPH)

  • 1122 JACKSON ST UNIT #407

    UNIT 407

    DALLAS, TX 75202

    Phone: (805) 471-3666

    Type: Mailing

  • 1122 JACKSON ST UNIT 407

    DALLAS, TX 75202

    Phone: (805) 471-3666

    Type: Location

  • Jackson Street, Downtown PID, Dallas, Dallas County, Texas, 75201, United States

    DALLAS, TX 75202

    Phone: (805) 458-5037

    Type: Mailing

  • 101, South Hartford Street, Breckenridge, Stephens County, Texas, 76424, United States

    BRECKENRIDGE MEDICAL CLINIC

    BRECKENRIDGE, TX 76424

    Phone: (254) 559-3363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 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: 2024-12-05 • Largest payer in this snapshot: Gilead Sciences, Inc. ($143).

Total Amount

$378

General + Research + Ownership

Payments

13

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

2024-12-05

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: 2004-11-17

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
I20041117000574IFamily PracticeTXTBD

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 minutes11838$0
36415Insertion of needle into vein for collection of blood sample6136$0
99213Established patient office or other outpatient visit, 20-29 minutes2619$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2221$0
96372Injection of drug or substance under skin or into muscle2211$0
View full utilization report →

Insurance plans in this area (ZIP 75202)

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Provider's Procedures

DR. STEPHANIE ELNORA STAFFORD (DO MPH) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2222

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: 8224920228View full group profile
NameSpecialtyState
Family PracticeTX

Reviews

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Frequently asked questions

How do payers reference DR. STEPHANIE ELNORA STAFFORD (DO MPH)?
For DR. STEPHANIE ELNORA STAFFORD (DO MPH), use NPI 1720031321 as the unique 10-digit identifier.
Would DR. STEPHANIE ELNORA STAFFORD (DO MPH) appear as active to a payer?
You can treat DR. STEPHANIE ELNORA STAFFORD (DO MPH) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. STEPHANIE ELNORA STAFFORD (DO MPH)?
DR. STEPHANIE ELNORA STAFFORD (DO MPH)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. STEPHANIE ELNORA STAFFORD (DO MPH) located near Dallas?
DR. STEPHANIE ELNORA STAFFORD (DO MPH) currently maps to Dallas, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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