THOMAS ROBERT STALEY MD
NPI 1174750855
Family Medicine in Davenport, IA

Q: What is Thomas Staley's NPI number?

The NPI number for Thomas Staley is 1174750855. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Q: What is Thomas Staley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Staley was last updated on June 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment

1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 421-4400(563) 421-4449 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas Robert Staley Md NPPES

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

THOMAS ROBERT STALEY MD (NPI 1174750855) is an individual family medicine provider in Davenport, Iowa, licensed in Iowa (R8645) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2009).

NPPES Registry Identity

NPI1174750855

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS ROBERT STALEYCredential: MD

Location Address1345 W CENTRAL PARK AVEDavenport, IA 52804-1844

Mailing Address1345 W Central Park AveDavenport, IA 52804-1844 · (563) 421-4400 · Fax (563) 421-4449

Phone(563) 421-4400

Fax(563) 421-4449

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2009

Enumeration DateJune 19, 2009

✔ NPI 1174750855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R8645

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1345 W CENTRAL PARK AVE, Davenport, IA 52804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Robert Staley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971790775

PECOS Enrollment IDI20101206000930, I20180411000191

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

290 services239 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

224 services113 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

117 services47 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

101 services71 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

89 services81 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

62 services47 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Hammond Henry Hospital

Critical Access Hospitals · Geneseo, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141319

Location600 N College AvenueGeneseo, IL 61254 · Henry County

Emergency services

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160104

Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52804 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier20 claims20 services$29.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JESICAH ELISABETH AMBRISCO DO

Family Medicine