1. Home
  2. Directory
  3. Alabama
  4. Madison
  5. Family Medicine
  6. NPI Profile

DR. ROGER DALE STANMORE M.D.
NPI 1295772986
Family Medicine in Madison, AL

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
7583 WALL TRIANA HWY, MADISON, AL 35757(256) 547-6119(256) 546-2981 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Roger Dale Stanmore M.d. NPPES

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

DR. ROGER DALE STANMORE M.D. (NPI 1295772986) is an individual family medicine provider in Madison, Alabama, licensed in Alabama (00013106) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1984).

NPPES Registry Identity

NPI1295772986
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROGER DALE STANMORECredential: M.D.
Location Address7583 WALL TRIANA HWYMadison, AL 35757-8327
Mailing AddressPo Box 303Gadsden, AL 35902-0303 · (256) 547-6119 · Fax (256) 546-2981
Phone(256) 547-6119
Fax(256) 546-2981
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1984
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1295772986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 00013106
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.
7583 WALL TRIANA HWY, Madison, AL 35757
Open in Google Maps ↗

Other Identifiers 5

Other51532050AL · Blue Cross Blue Shield
Medicaid009932569AL
Other3015AL · Neic Site Id
Other51001283AL · Blue Cross Blue Shield
Other3002AL · Neic Site Id, Nsf Ba0-7

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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. Roger Dale Stanmore 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 ID3173550266
PECOS Enrollment IDI20050815000377
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

11

Medicare enrollment records show Roger Stanmore reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Family Care, LLC
3.7 mi
Primary Care
7559 HWY 72 W
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1184630592 (256) 562-0850
Coffee County Physician Group PC
61 mi
Emergency Medicine
481 INTERSTATE DR
Manchester, TN 37355
  • Reassigned Medicare billing, Alabama enrollment
  • 16 clinicians in this Medicare group
NPI 1437164878 (931) 728-6354
Lakeland Physicians LLC
62 mi
Family Medicine
42030 HIGHWAY 195, STE A
Haleyville, AL 35565
  • Reassigned Medicare billing, Alabama enrollment
  • 56 clinicians in this Medicare group
NPI 1851780951 (205) 485-7243
Nwmc Winfield Physicians LLC
86 mi
Family Medicine
200 CARRAWAY DR STE B2
Winfield, AL 35594
  • Reassigned Medicare billing, Alabama enrollment
  • 58 clinicians in this Medicare group
NPI 1366831380 (205) 487-7556
Rush Hospital/Butler, Inc
205 mi
Emergency Medicine
401 VANITY FAIR LANE
Butler, AL 36904
  • Reassigned Medicare billing, Alabama enrollment
  • 77 clinicians in this Medicare group
NPI 1811268592 (205) 459-9100
Ess Of Luverne LLC
212 mi
Emergency Medicine
101 HOSPITAL DR
Luverne, AL 36049
  • Reassigned Medicare billing, Alabama enrollment
  • 52 clinicians in this Medicare group
NPI 1457953473 (334) 335-3374
Ihp Al ER PLLC
221 mi
Emergency Medical Services
295 S JACKSON ST
Grove Hill, AL 36451
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group
NPI 1568187359 (251) 275-3191
Newgen Alabama Billing LLC
240 mi
Emergency Medicine
126 HOSPITAL AVE
Ozark, AL 36360
  • Reassigned Medicare billing, Alabama enrollment
  • 140 clinicians in this Medicare group
NPI 1013744424 (334) 774-2601
Wh Services Brewton LLC
254 mi
Emergency Medicine
1301 BELLEVILLE AVE
Brewton, AL 36426
  • Reassigned Medicare billing, Alabama enrollment
  • 23 clinicians in this Medicare group
NPI 1194408005 (251) 867-8061
Wh Services Atmore LLC
265 mi
Emergency Medicine
401 MEDICAL PARK DR
Atmore, AL 36502
  • Reassigned Medicare billing, Alabama enrollment
  • 22 clinicians in this Medicare group
NPI 1972375574 (251) 368-2500

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 5

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 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.
144 services132 patients
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.
125 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services11 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.
20 services17 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.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35757 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 9

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

PHARMACY EXPRESS, INC.
Pharmacy
7583 WALL TRIANA HWY, SUITE B
MADISON, AL 35757
Madison County (256) 547-6119
ALETHA LAKAY EDISON MD
Family Medicine
7583 WALL TRIANA HWY
MADISON, AL 35757
Madison County (256) 547-6119
CORA S HALL
Pharmacist
7583 WALL TRIANA HWY, SUITE B
MADISON, AL 35757
Madison County (256) 547-6119
MICHAEL D ARROWOOD
Pharmacist
7583 WALL TRIANA HWY, SUITE B
MADISON, AL 35757
Madison County (256) 547-6119
DR. BARBARA BENNETT M.D.
Family Medicine
7583 WALL TRIANA HWY
MADISON, AL 35757
Madison County (256) 547-6119
JUDY N LEDBETTER
Pharmacist
7583 WALL TRIANA HWY
MADISON, AL 35757
Madison County (256) 547-6119
CRH UMC LLC
Clinic/Center
7583 WALL TRIANA HWY
MADISON, AL 35757
Madison County (256) 830-5777
AMERICAN FAMILY CARE, LLC
Clinic/Center (Primary Care)
7583 WALL TRIANA HWY
MADISON, AL 35757
Madison County (256) 258-8004

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 Roger Stanmore's NPI number?

The NPI number for Roger Stanmore is 1295772986. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Roger Stanmore located?

Roger Stanmore practices at 7583 Wall Triana Hwy, Madison, AL 35757. The listed phone number is (256) 547-6119.

What is Roger Stanmore's specialty?

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

Is Roger Stanmore enrolled in Medicare?

Yes. Roger Stanmore 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 Roger Stanmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Stanmore reassigns Medicare benefits to 11 organizations: American Family Care, LLC (Madison, AL), Coffee County Physician Group PC (Manchester, TN), Lakeland Physicians LLC (Haleyville, AL), Nwmc Winfield Physicians LLC (Winfield, AL), Rush Hospital/Butler, Inc (Butler, AL) and 6 more organizations, listed in the Medicare section above. 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 Roger Stanmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Stanmore accept?

Health plans from Blue Cross and Blue Shield of Alabama list Roger Stanmore 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.

When was this NPI record last updated?

The NPPES record for Roger Stanmore was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.