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DR. SAM STAFFORD III MD
NPI 1164480166
Dermatology in Mt Pleasant, SC

Active since May 02, 2006PECOS Enrolled
570 LONG POINT RD, SUITE 200, MT PLEASANT, SC 29464(843) 881-0320(843) 881-5453 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sam Stafford Iii Md NPPES

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

DR. SAM STAFFORD III MD (NPI 1164480166) is an individual dermatology provider in Mt Pleasant, South Carolina, licensed in South Carolina (08579) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164480166
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. SAM STAFFORD IIICredential: MD
Location Address570 LONG POINT RD, SUITE 200Mt Pleasant, SC 29464-7930
Mailing Address570 Long Point Rd, Suite 200Mt Pleasant, SC 29464-7930 · (843) 881-0320 · Fax (843) 881-5453
Phone(843) 881-0320
Fax(843) 881-5453
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateOctober 24, 2012
✔ NPI 1164480166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in SC · 08579
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X · License 570943516 (SC)
570 LONG POINT RD, Mt Pleasant, SC 29464
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Other Identifiers 3

Medicare PIN7818SC
Medicaid085794SC
Medicare UPINC60581SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Stafford Iii Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,118 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.
2%407 patients1/55-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.
100%2,442 patients5/55-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
75%1,285 patients4/55-star benchmark: 95%
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…
93%2,442 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
99%70 patients
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 13

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

MRS. CHRISTINE ROEBUCK BLAKE OTR L CHT
Occupational Therapist (Hand)
570 LONG POINT RD, SUITE 270
MT PLEASANT, SC 29464
Charleston County (843) 884-4783
MRS. BECKI LIN BEVIER PA-C
Physician Assistant
570 LONG POINT RD
MOUNT PLEASANT, SC 29464
Charleston County (843) 480-2273
JOANNE MCTAVISH OT
Occupational Therapist
570 LONG POINT RD, SUITE 270
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-4783
KYLA BAILEY BCBA
Behavior Analyst
570 LONG POINT RD
MT PLEASANT, SC 29464
Charleston County (888) 901-7077
COASTAL THERAPEUTICS PA
Physical Therapist
570 LONG POINT RD, SUITE 270
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-4783
MS. NORA G STRESEMANN OTR L
Occupational Therapist (Hand)
570 LONG POINT RD, SUITE 270
MT PLEASANT, SC 29464
Charleston County (843) 884-4783
DR. STEPHANIE E. SMITH-PHILLIPS M
Dermatology
570 LONG POINT RD, SUITE 200
MOUNT PLEASANT, SC 29464
Charleston County (843) 881-0320
METABOLIC MEDICAL CENTERS, INC.
Clinic/Center (Medical Specialty)
570 LONG POINT RD, SUITE # 100
MT PLEASANT, SC 29464
Charleston County (843) 971-1919

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 Sam Stafford's NPI number?

The NPI number for Sam Stafford is 1164480166. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Sam Stafford located?

Sam Stafford practices at 570 Long Point Rd Suite 200, Mt Pleasant, SC 29464. The listed phone number is (843) 881-0320.

What is Sam Stafford's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sam Stafford enrolled in Medicare?

Yes. Sam Stafford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sam Stafford was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.