DR. GARY LEE STAFFORD M.D.
NPI 1245272400
Emergency Medicine in Lenoir City, TN

Q: What is Gary Stafford's NPI number?

The NPI number for Gary Stafford is 1245272400. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Gary Stafford's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Stafford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 12, 2006PECOS EnrolledAccepts Medicare Assignment

550 FORT LOUDOUN MEDICAL CENTER DR, LENOIR CITY, TN 37772(865) 271-6035(865) 271-6262 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Gary Lee Stafford M.d. NPPES

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

DR. GARY LEE STAFFORD M.D. (NPI 1245272400) is an individual emergency medicine provider in Lenoir City, Tennessee, licensed in Tennessee (BS4671966) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of University Of Alabama School Of Medicine (1994).

NPPES Registry Identity

NPI1245272400

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. GARY LEE STAFFORDCredential: M.D.

Location Address550 FORT LOUDOUN MEDICAL CENTER DRLenoir City, TN 37772-5673

Mailing Address1400 Antioch Church Rd WLenoir City, TN 37772-5009 · (865) 986-4120

Phone(865) 271-6035

Fax(865) 271-6262

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1994

Enumeration DateJune 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245272400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · BS4671966✔ Licensed in TN · 27430

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

550 FORT LOUDOUN MEDICAL CENTER DR, Lenoir City, TN 37772

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Other Identifiers 3

Medicaid3098382TN

Medicare ID-Type Unspecified3098382TN

Other3079249TN · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary Lee Stafford M.d. 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 ID1951352178

PECOS Enrollment IDI20050204000577, I20081023000222

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 Reassignments

Medicare enrollment records show Gary Stafford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC

62 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, Georgia and Tennessee enrollments
330 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

Southeastern Emergency Physicians LLC

196 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Tennessee enrollment
1,071 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

146 services143 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

118 services109 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

25 services25 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440068

Location1114 W Madison AveAthens, TN 37371 · Mc Minn County

Emergency services Birthing friendly

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440187

Location315 Oak St Box 550Livingston, TN 38570 · Overton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37772 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 14

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

DR. ROBERT JAMES BOEHM M.D.

Internal Medicine