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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARK E STANIFORTH MD
NPI 1619978707
Internal Medicine - Nephrology in Muskegon, MI

Active since August 10, 2005PECOS Enrolled
1250 MERCY DR, STE 101, MUSKEGON, MI 49444(231) 739-6375 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Aug 23, 2017 (2 updates tracked since 2017).

About Mark E Staniforth Md NPPES

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

MARK E STANIFORTH MD (NPI 1619978707) is an individual nephrology provider in Muskegon, Michigan, licensed in Michigan (5315016730) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1619978707
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARK E STANIFORTHCredential: MD
Location Address1250 MERCY DR, STE 101Muskegon, MI 49444-1881
Mailing Address1250 Mercy Dr, Ste 101Muskegon, MI 49444-1881 · (231) 733-1912
Phone(231) 739-6375
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1619978707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 5315016730
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1250 MERCY DR, Muskegon, MI 49444
Open in Google Maps ↗

Other Identifiers 1

Medicaid4625118MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Mark E Staniforth 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 ID5294713285
PECOS Enrollment IDI20040707001201
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 10

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 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.
235 services68 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
204 services121 patients
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.
155 services135 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.
71 services67 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services46 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
30 services29 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230174
Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County
Emergency services

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

WEST MICHIGAN NEPHROLOGY PLLC
Internal Medicine (Nephrology)
1250 MERCY DR, SUITE 101
MUSKEGON, MI 49444
Muskegon County (231) 733-1912
GREGORY H DOWNER M.D.
Internal Medicine (Nephrology)
1250 MERCY DR, SUITE 101
MUSKEGON, MI 49444
Muskegon County (231) 733-1912
DVA RENAL HEALTHCARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1250 MERCY DR, STE 201
MUSKEGON, MI 49444
Muskegon County (231) 737-0075

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 Mark Staniforth's NPI number?

The NPI number for Mark Staniforth is 1619978707. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Mark Staniforth located?

Mark Staniforth practices at 1250 Mercy Dr Ste 101, Muskegon, MI 49444. The listed phone number is (231) 739-6375.

What is Mark Staniforth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mark Staniforth enrolled in Medicare?

Yes. Mark Staniforth 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 Mark Staniforth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Mark Staniforth 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 Mark Staniforth affiliated with any hospitals?

According to CMS data, Mark Staniforth is affiliated with Spectrum Health, Trinity Health Muskegon Hospital, Trinity Health Grand Haven Hospital, Mercy Health Lakeshore Campus and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Mark Staniforth was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.