DR. IVAN JOHN STANFORD MD
NPI 1669035218
Internal Medicine in Farmington, CT

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-4477(860) 679-1025 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ivan John Stanford Md NPPES

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

DR. IVAN JOHN STANFORD MD (NPI 1669035218) is an individual internal medicine provider in Farmington, Connecticut, licensed in Connecticut (071441) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669035218
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. IVAN JOHN STANFORDCredential: MD
Location Address263 FARMINGTON AVEFarmington, CT 06030-8021
Mailing Address263 Farmington AveFarmington, CT 06030-8021 · (860) 679-4477 · Fax (860) 679-1025
Fax(860) 679-1025
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 19, 2019
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
NPI 1669035218 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 CT · 071441
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.

263 FARMINGTON AVE, Farmington, CT 06030

Secondary Practice Location 1

Location 11000 Asylum Ave Rm 1004Hartford, CT 06105-1701 · Phone (860) 714-4532 · Fax (860) 714-8275

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. Ivan John 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 ID9931439080
PECOS Enrollment IDI20220715001284
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 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.
44 services42 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

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.

Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Pathology (Anatomic Pathology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dietitian, Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669035218, enumerated as an "individual" on April 19, 2019.

The provider is located at 263 FARMINGTON AVE FARMINGTON, CT 06030 and the phone number is (860) 679-4477.

Internal Medicine with taxonomy code 207R00000X.