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ROXANNE STALLWORTH M.D., M.P.H.
NPI 1366678906
Internal Medicine in Costa Mesa, CA

Active since June 10, 2009PECOS EnrolledAccepts Medicare Assignment
1640 NEWPORT BLVD STE 440, COSTA MESA, CA 92627(949) 791-8888 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Nov 10, 2021, Oct 28, 2020 and 1 more (4 updates tracked since 2019).

About Roxanne Stallworth M.d., M.p.h. NPPES

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

ROXANNE STALLWORTH M.D., M.P.H. (NPI 1366678906) is an individual internal medicine provider in Costa Mesa, California, licensed in California (A113706) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ladera Ranch, and is a graduate of Albany Medical College Of Union University (2009).

NPPES Registry Identity

NPI1366678906
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameROXANNE STALLWORTHCredential: M.D., M.P.H.
Location Address1640 NEWPORT BLVD STE 440Costa Mesa, CA 92627-3786
Mailing Address1640 Newport Blvd Ste 440Costa Mesa, CA 92627-3786 · (949) 791-8888
Phone(949) 791-8888
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2009
Enumeration DateJune 10, 2009
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1366678906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A113706
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1640 NEWPORT BLVD STE 440, Costa Mesa, CA 92627
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Other Names 1

Professional Name (2)Roxanne Stallworth Md

Secondary Practice Location 1

Location 1777 Corporate Dr Ste 140Ladera Ranch, CA 92694-2136 · Phone (949) 409-4868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Roxanne Stallworth M.d., M.p.h. 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 ID3375795859
PECOS Enrollment IDI20121207000227
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 3

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.
41 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

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

NEWPORT SLEEP AND WELLNESS, INC.
Clinic/Center (Sleep Disorder Diagnostic)
1640 NEWPORT BLVD STE 440
COSTA MESA, CA 92627
Orange County (949) 554-0588
TSAY MD INCORPORATED
Family Medicine
1640 NEWPORT BLVD STE 440
COSTA MESA, CA 92627
Orange County (949) 791-8888
CARLTON MEDICAL GROUP INC
Chiropractor (Internist)
1640 NEWPORT BLVD STE 440
COSTA MESA, CA 92627
Orange County (949) 287-6321
CINDY TAMMY YANG MD
Family Medicine
1640 NEWPORT BLVD STE 440
COSTA MESA, CA 92627
Orange County (949) 791-8888

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 Roxanne Stallworth's NPI number?

The NPI number for Roxanne Stallworth is 1366678906. It was assigned to this individual provider in the NPPES registry on June 10, 2009. The provider is also known as Roxanne Stallworth MD.

Where is Roxanne Stallworth located?

Roxanne Stallworth practices at 1640 Newport Blvd Ste 440, Costa Mesa, CA 92627. The listed phone number is (949) 791-8888.

What is Roxanne Stallworth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roxanne Stallworth enrolled in Medicare?

Yes. Roxanne Stallworth 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.

What insurance does Roxanne Stallworth accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Roxanne Stallworth 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 Roxanne Stallworth was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.