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STANLEY RIVERA SANTIAGO MD
NPI 1316924285
Obstetrics & Gynecology in Key West, FL

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
1111 12TH ST, SUITE 104, KEY WEST, FL 33040(305) 293-1830(305) 293-2937 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stanley Rivera Santiago Md NPPES

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

STANLEY RIVERA SANTIAGO MD (NPI 1316924285) is an individual obstetrics & gynecology provider in Key West, Florida, licensed in Florida (ME113009) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1316924285
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSTANLEY RIVERA SANTIAGOCredential: MD
Location Address1111 12TH ST, SUITE 104Key West, FL 33040-4088
Mailing Address1111 12th St, Suite 104Key West, FL 33040-4088
Phone(305) 293-1830
Fax(305) 293-2937
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 30, 2005
Last NPPES UpdateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1316924285 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 · ME113009
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.
1111 12TH ST, Key West, FL 33040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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

Stanley Rivera Santiago 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 ID8224077268
PECOS Enrollment IDI20140723002092
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 Stanley Santiago reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Of South Florida Inc
2.5 mi
Federally Qualified Health Center (FQHC)
727 FORT ST
Key West, FL 33040
  • Reassigned Medicare billing, Florida enrollment
  • 144 clinicians in this Medicare group
NPI 1144890013 (305) 253-5100
Key West Hma Physician Management, LLC
20 mi
Internal Medicine
22974 OVERSEAS HWY
Cudjoe Key, FL 33042
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
NPI 1871548651 (305) 872-5600

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services17 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.
16 services13 patients
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.
12 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100150
Location5900 College RoadKey West, FL 33040 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33040 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
57%122 patients3/55-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)…
80%664 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
12%134 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,319 patients5/55-star benchmark: 100%
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…
38%563 patients2/55-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: 99% · 493 patients
91%493 patients4/55-star benchmark: 98%
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.

STEVEN TAKAS MD
Pediatrics
1111 12TH ST, STE 311
KEY WEST, FL 33040
Monroe County (305) 295-6700
ROBERT W DOUVILLE MD PA
Ophthalmology
1111 12TH ST, STE 107
KEY WEST, FL 33040
Monroe County (305) 294-8494
NANCY JEAN KAPLITZ MD PA
Psychiatry & Neurology (Neurology)
1111 12TH ST, SUITE 110
KEY WEST, FL 33040
Monroe County (305) 293-0005
EDUARDO R GONZALEZ-BLANCO M.D.
Urology
1111 12TH ST, SUITE 108
KEY WEST, FL 33040
Monroe County (305) 294-5576
FL KEYS INTENSIVE OUTPATIENT PROGRAM, LLC
Psychiatry & Neurology (Psychiatry)
1111 12TH ST, SUITE 413
KEY WEST, FL 33040
Monroe County (305) 294-9554
PEDIATRICS ALLIANCE LLC
Pediatrics
1111 12TH ST, STE 311
KEY WEST, FL 33040
Monroe County (305) 295-6700
JOSEPH OLEAR MD
Psychologist (Prescribing (Medical))
1111 12TH ST, 106
KEY WEST, FL 33040
Monroe County (305) 294-9554
DR. JOHN CALLEJA MD
Internal Medicine
1111 12TH ST, SUITE 210
KEY WEST, FL 33040
Monroe County (305) 296-2414

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 Stanley Santiago's NPI number?

The NPI number for Stanley Santiago is 1316924285. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Stanley Santiago located?

Stanley Santiago practices at 1111 12th St Suite 104, Key West, FL 33040. The listed phone number is (305) 293-1830.

What is Stanley Santiago's specialty?

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

Is Stanley Santiago enrolled in Medicare?

Yes. Stanley Santiago 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 Stanley Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Santiago reassigns Medicare benefits to 2 organizations: Community Health Of South Florida Inc (Key West, FL) and Key West Hma Physician Management, LLC (Cudjoe Key, 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 Stanley Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stanley Santiago accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Stanley Santiago 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 Stanley Santiago affiliated with any hospitals?

According to CMS data, Stanley Santiago is affiliated with Lower Keys Medical Center.

When was this NPI record last updated?

The NPPES record for Stanley Santiago was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.