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STAN PELOFSKY M.D.
NPI 1003805425
Neurological Surgery in Oklahoma City, OK

Active since October 18, 2005PECOS Enrolled
4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK 73120(405) 748-3300(405) 749-1671 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Stan Pelofsky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAN PELOFSKY M.D. (NPI 1003805425) is an individual neurological surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (8700) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003805425
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameSTAN PELOFSKYCredential: M.D.
Location Address4120 W MEMORIAL RD, SUITE 300Oklahoma City, OK 73120-9322
Mailing Address4120 W Memorial Rd, Suite 300Oklahoma City, OK 73120-9322 · (405) 748-3300 · Fax (405) 749-1671
Phone(405) 748-3300
Fax(405) 749-1671
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateDecember 27, 2013
✔ NPI 1003805425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in OK · 8700
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4120 W MEMORIAL RD, Oklahoma City, OK 73120
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Other Identifiers 3

Medicaid100012580AOK
Medicare UPINC95347
Medicare PIN244419611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stan Pelofsky M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stan Pelofsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neuroscience Specialists PC
1.1 mi
Neurological Surgery
14100 PARKWAY COMMONS DR STE 100
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 23 clinicians in this Medicare group
NPI 1548239494 (405) 748-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%326 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%35 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%67 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
83%87 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
51%77 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 65% · 98 patients
65%98 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
51%67 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
48%67 patients3/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 87 patients
1%87 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN KEITH CAGLE M.D.
Specialist
4120 W MEMORIAL RD, STE 300
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 748-3300
MS. DANIELLE K HOWARD RN
Registered Nurse (Medical-Surgical)
4120 W MEMORIAL RD, STE 300
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 748-3300
MS. CHERYL A MONTGOMERY RNFA
Registered Nurse (Neuroscience)
4120 W MEMORIAL RD, STE 300
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 748-3300
DAWN MICHELLE COWAN PA-C
Physician Assistant (Surgical)
4120 W MEMORIAL RD, SUITE 300
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 748-3300
STEPHANIE R. GARRISON P.A.
Physician Assistant (Surgical)
4120 W MEMORIAL RD, SUITE 300
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 748-3300
WINSTON DEAN SHIPLEY II MD
Psychiatry & Neurology (Neurology)
4120 W MEMORIAL RD, #218
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 302-2661
REBECCA J ZENTNER CNP
Nurse Practitioner (Family)
4120 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 302-2661
ROBERT J TYNDALL M.D.
Psychiatry & Neurology (Neurology)
4120 W MEMORIAL RD, SUITE 218
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 302-2661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stan Pelofsky's NPI number?

The NPI number for Stan Pelofsky is 1003805425. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Stan Pelofsky located?

Stan Pelofsky practices at 4120 W Memorial Rd Suite 300, Oklahoma City, OK 73120. The listed phone number is (405) 748-3300.

What is Stan Pelofsky's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Stan Pelofsky enrolled in Medicare?

Yes. Stan Pelofsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stan Pelofsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stan Pelofsky reassigns Medicare benefits to Neuroscience Specialists PC (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stan Pelofsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stan Pelofsky was last updated on December 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.