JAMES ERIC STANFORD D.O.
NPI 1447565775
Orthopaedic Surgery - Sports Medicine in Athens, AL

Active since August 11, 2010PECOS EnrolledAccepts Medicare Assignment
77.36/100
CMS Quality Rating
22454 HWY 72 W, SUITE 200, ATHENS, AL 35613(256) 233-2332(256) 539-2666 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2024, Jan 24, 2019 (2 updates tracked since 2019).

About James Eric Stanford D.o. NPPES

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

JAMES ERIC STANFORD D.O. (NPI 1447565775) is an individual sports medicine provider in Athens, Alabama, licensed in Alabama (DO1414) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Physicians And Surgeons (2009).

NPPES Registry Identity

NPI1447565775
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJAMES ERIC STANFORDCredential: D.O.
Location Address22454 HWY 72 W, SUITE 200Athens, AL 35613
Mailing Address927 Franklin St SeHuntsville, AL 35801-4306 · (256) 539-2728 · Fax (256) 539-2666
Fax(256) 539-2666
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2009
Enumeration DateAugust 11, 2010
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1447565775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in AL · DO1414
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License DO1414 (AL)
22454 HWY 72 W, Athens, AL 35613

Other Identifiers 2

Other512-09037AL · Bcbs
Medicaid218694AL

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

James Eric Stanford D.o. 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 ID4880810696
PECOS Enrollment IDI20140730001771
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 25

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,788 services352 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
479 services307 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
386 services255 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
175 services175 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
152 services38 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
131 services109 patients

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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality41.81
Promoting Interoperability86
Improvement Activities40
Cost94.38

Reported Quality Measures

Breast Cancer Screening
0%803 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%613 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%1,494 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%737 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%25 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%4,444 patients4/55-star benchmark: 100%
e-Prescribing
99%4,381 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%857 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%22 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
3%2,585 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 2% · 152 patients
Patients screened: 56% · 1,092 patients
46%1,092 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
82%2,851 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 857 patients
Patients totalRate: 3% · 857 patients
3%857 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers20 claims20 services$56.31 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
2 suppliers23 claims23 services$67.01 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier27 claims484 services$18.55 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$108.59 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 3

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

Orthopaedic Surgery
22454 HWY 72 W, SUITE 200
ATHENS, AL 35613
Orthopaedic Surgery (Sports Medicine)
22454 HWY 72 W, SUITE 200
ATHENS, AL 35613
Family Medicine (Sports Medicine)
22454 HWY 72 W, SUITE 200
ATHENS, AL 35613

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 James Stanford's NPI number?

The NPI number for James Stanford is 1447565775. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is James Stanford located?

James Stanford practices at 22454 Hwy 72 W Suite 200, Athens, AL 35613. The listed phone number is (256) 233-2332.

What is James Stanford's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Stanford enrolled in Medicare?

Yes. James 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 James Stanford accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list James 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.

When was this NPI record last updated?

The NPPES record for James Stanford was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.