LAURA STAFMAN M.D.
NPI 1497198220
Surgery - Pediatric Surgery in Birmingham, AL

NPI Status: Active since April 11, 2013

Contact Information

1600 7TH AVENUE SOUTH
LOWDER BLDG., SUITE 300
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 638-9688

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  • Individual
  • Female
  • Years of Experience 13
  • Surgery
  • Pediatric Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LAURA STAFMAN

This page provides the complete NPI Profile along with additional information for Laura Stafman, a provider established in Birmingham, Alabama with a medical specialization in Surgery, focusing in pediatric surgery and more than 13 years of experience. She graduated from University Of Florida College Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1497198220 assigned on April 2013. The practitioner's primary taxonomy code is 2086S0120X with license number 33797 (AL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1497198220
Provider Name
LAURA STAFMAN M.D.
Gender
Female
Entity Type
Individual
Location Address
1600 7TH AVENUE SOUTH LOWDER BLDG., SUITE 300 BIRMINGHAM, AL 35233
Location Phone
(205) 638-9688
Mailing Address
1600 7TH AVENUE SOUTH LOWDER BLDG., SUITE 300 BIRMINGHAM, AL 35233
Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
04-11-2013
Last Update Date
06-02-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Pediatric Surgery

Taxonomy Code
2086S0120X
Type
Allopathic & Osteopathic Physicians
License No.
33797
License State
AL
Taxonomy Description
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Thrive Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Laura Stafman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Laura Stafman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5799925400

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231024002695

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for LAURA STAFMAN M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497198220, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 2 + 9 + 1 + 6 + 2 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1497198220.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1600 7TH AVENUE SOUTH, ACC SUITE 500
BIRMINGHAM, AL 35233
Psychologist (Clinical)
1600 7TH AVENUE SOUTH, SUITE 500 ACC BUILDING
BIRMINGHAM, AL 35233
Specialist/Technologist (Athletic Trainer)
1600 7TH AVENUE SOUTH
BIRMINGHM, AL 35233
Nurse Anesthetist, Certified Registered
1600 7TH AVENUE SOUTH, CHILDREN'S OF ALABAMA
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1600 7TH AVENUE SOUTH
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1600 7TH AVENUE SOUTH
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1600 7TH AVENUE SOUTH
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1600 7TH AVENUE SOUTH, ANESTHESIA DEPARTMENT BR
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
1600 7TH AVENUE SOUTH, APASS, 2ND FLOOR LOWDER BUILDING
BIRMINGHAM, AL 35233
Psychologist
1600 7TH AVENUE SOUTH, CHILDREN'S BEHAVIORAL HEALTH, 500ACC
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Hematology-Oncology)
1600 7TH AVENUE SOUTH, 512 LOWDER
BIRMINGHAM, AL 35233
Anesthesiology (Pediatric Anesthesiology)
1600 7TH AVENUE SOUTH, LOWDER 420
BIRMINGHAM, AL 35233
Psychologist (Clinical)
1600 7TH AVENUE SOUTH, LOWDER 512
BIRMINGHAM, AL 35233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497198220, enumerated as an "individual" on April 11, 2013.

The provider is located at 1600 7TH AVENUE SOUTH LOWDER BLDG., SUITE 300 BIRMINGHAM, AL 35233 and the phone number is (205) 638-9688.

Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.