DR. PAUL ALLEN STANFORD MD
NPI 1396233250
Internal Medicine in Idaho Falls, ID

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
50.91/100
CMS Quality Rating
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 227-2850 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2021, Apr 26, 2018 (2 updates tracked since 2018).

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

NPI1396233250
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL ALLEN STANFORDCredential: MD
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (208) 227-2850
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1396233250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in ID · M-15729
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.
Also ListedHospitalistTaxonomy 208M00000X · License M-15729 (ID)
3100 CHANNING WAY, Idaho Falls, ID 83404

Accepted 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

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.

PECOS PAC ID547597676
PECOS Enrollment IDI20210818003318, I20250815001115
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
727 services258 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
222 services212 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.
174 services87 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
154 services149 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services14 patients

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, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Powell Valley Hospital

Critical Access Hospitals · Powell, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531310
Location777 Avenue HPowell, WY 82435 · Park County
Emergency services

Physician 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.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

50.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality56.95
Improvement Activities0
Cost43.4

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$16.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$94.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
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.

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 4 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.