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DR. TODD DANIEL STALNAKER DO
NPI 1275571135
Obstetrics & Gynecology in Pensacola, FL

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
5153 N 9TH AVE, 205, PENSACOLA, FL 32504(850) 416-2550(850) 416-2539 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Todd Daniel Stalnaker Do NPPES

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

DR. TODD DANIEL STALNAKER DO (NPI 1275571135) is an individual obstetrics & gynecology provider in Pensacola, Florida, licensed in Florida (OS6213) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1275571135
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. TODD DANIEL STALNAKERCredential: DO
Location Address5153 N 9TH AVE, 205Pensacola, FL 32504-8785
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 416-2550 · Fax (850) 416-2539
Phone(850) 416-2550
Fax(850) 416-2539
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 3, 2006
Last NPPES UpdateDecember 29, 2011
✔ NPI 1275571135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · OS6213
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5153 N 9TH AVE, Pensacola, FL 32504
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Other Identifiers 3

Medicare UPINF12345FL
Medicare ID-Type Unspecified80570FL
Medicaid056787600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and more.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. Todd Daniel Stalnaker Do 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 ID7911009741
PECOS Enrollment IDI20070226000663
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

2

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

Sacred Heart Health System, Inc
0.1 mi
Internal Medicine
5149 N 9TH AVE STE G32
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1043261498 (Florida)
  • 68 clinicians in this Medicare group
NPI 1952177446 (850) 416-0086
Florida Medical Practice Plan Inc
172 mi
General Practice
2911 ROBERTS AVE
Tallahassee, FL 32310
  • Reassigned Medicare billing, Florida enrollment
  • 49 clinicians in this Medicare group
NPI 1326386293 (850) 644-1543

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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
80 services80 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
79 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services55 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
30 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
82%594 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%1,100 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
66%660 patients4/55-star benchmark: 85%
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.
97%3,544 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
41%133 patients2/55-star benchmark: 88%
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.
99%490 patients4/55-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.
91%1,935 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
56%1,797 patients3/55-star benchmark: 97%
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: 98% · 1,369 patients
Patients tobacco: 21% · 72 patients
89%1,369 patients4/55-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…
94%1,935 patients4/55-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…
85%1,935 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
64%1,935 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 20

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

MS. SUSAN LEIGH DIAMOND PA-C
Physician Assistant
5153 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 505-4700
MRS. STEPHANIE SHARPLES FRANCIS MS
Genetic Counselor, MS
5153 N 9TH AVE, SUITE 201
PENSACOLA, FL 32504
Escambia County (850) 416-4025
MRS. MATILDA JANSEN ACNP
Nurse Practitioner (Acute Care)
5153 N 9TH AVE, SUITE 404
PENSACOLA, FL 32504
Escambia County (850) 416-4970
RENEE PHILLIPS
Nurse Practitioner
5153 N 9TH AVE, STE 302
PENSACOLA, FL 32504
Escambia County (850) 416-2250
LYNDSAY D NORMAN ARNP
Nurse Practitioner (Family)
5153 N 9TH AVE, SUITE 302
PENSACOLA, FL 32504
Escambia County (850) 416-2250
SABRINA ADAMS MD
Pediatrics (Pediatric Critical Care Medicine)
5153 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-7710
AMY E LEE M.D.
Pediatrics (Pediatric Critical Care Medicine)
5153 N 9TH AVE, 6TH FLOOR NEMOURS
PENSACOLA, FL 32504
Escambia County (850) 416-7658
GEORGE MICHAEL DMYTRENKO M.D., PH.D.
Psychiatry & Neurology (Neurology)
5153 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-2554

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 Todd Stalnaker's NPI number?

The NPI number for Todd Stalnaker is 1275571135. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Todd Stalnaker located?

Todd Stalnaker practices at 5153 N 9th Ave 205, Pensacola, FL 32504. The listed phone number is (850) 416-2550.

What is Todd Stalnaker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Todd Stalnaker enrolled in Medicare?

Yes. Todd Stalnaker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Todd Stalnaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Stalnaker reassigns Medicare benefits to 2 organizations: Sacred Heart Health System, Inc (Pensacola, FL) and Florida Medical Practice Plan Inc (Tallahassee, FL). Each 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 Todd Stalnaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Stalnaker accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Todd Stalnaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Todd Stalnaker affiliated with any hospitals?

According to CMS data, Todd Stalnaker is affiliated with Sacred Heart Hospital and Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Todd Stalnaker was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.