STAN PELOFSKY (M.D.) – Neurological Surgery Physician, NPI 1003805425

STAN PELOFSKY (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Neurological Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 8700 (OK). The NPI Number for STAN PELOFSKY (M.D.) is 1003805425

Main info

Male
Name
STAN PELOFSKY (M.D.)
NPI
1003805425
Phone
(405) 748-3300
Address
4120 W MEMORIAL RD
Enumeration Date
18 October 2005
Last Update Date
27 December 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for STAN PELOFSKY (M.D.)

  • West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    SUITE 300

    OKLAHOMA CITY, OK 731209322

    Phone: (405) 748-3300

    Fax: (405) 749-1671

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-10-27 • Largest payer in this snapshot: Baxter Healthcare ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$21
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: 2004-07-14

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
I20040714001339INeurosurgeryOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73120)

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Reviews

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Frequently asked questions

What NPI should I save for STAN PELOFSKY (M.D.)?
Save NPI 1003805425 if you need a stable reference for STAN PELOFSKY (M.D.).
Is STAN PELOFSKY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does STAN PELOFSKY (M.D.) work in?
You can think of STAN PELOFSKY (M.D.) as practicing within Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is STAN PELOFSKY (M.D.)'s primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for STAN PELOFSKY (M.D.).
What if Oklahoma City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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