DR. PAUL ALLEN STANFORD MD
NPI 1396233250
Internal Medicine in Idaho Falls, ID
About Dr. Paul Allen Stanford Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL ALLEN STANFORD MD (NPI 1396233250) is an individual internal medicine provider in Idaho Falls, Idaho, licensed in Idaho (M-15729) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Paul Allen Stanford 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Stanford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 56 clinicians in this Medicare group
West Yellowstone, MT 59758
- Reassigned Medicare billing, Montana enrollment
- Medicare enrollment name: Billings Clinic
- 1,264 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eastern Idaho Regional Medical Center
Acute Care Hospitals · Idaho Falls, IDBillings Clinic
Acute Care Hospitals · Billings, MTPowell Valley Hospital
Critical Access Hospitals · Powell, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
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 Paul Stanford's NPI number?
The NPI number for Paul Stanford is 1396233250. It was assigned to this individual provider in the NPPES registry on April 26, 2018.
Where is Paul Stanford located?
Paul Stanford practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 227-2850.
What is Paul Stanford's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paul Stanford enrolled in Medicare?
Yes. Paul Stanford 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 Paul Stanford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Stanford reassigns Medicare benefits to 2 organizations: Utah Regional Hospitalists LLC (Idaho Falls, ID) and Billings Cinic (West Yellowstone, MT). 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 Paul Stanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Stanford accept?
Health plans from Blue Cross and Blue Shield of Montana list Paul Stanford 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 Paul Stanford affiliated with any hospitals?
According to CMS data, Paul Stanford is affiliated with Eastern Idaho Regional Medical Center, Billings Clinic and Powell Valley Hospital.
When was this NPI record last updated?
The NPPES record for Paul Stanford was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.