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DR. SHELLEY A STANFORTH MD
NPI 1689774085
Family Medicine in Maineville, OH

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
67 NUNNER RD, MAINEVILLE, OH 45039(513) 677-2405(513) 677-2781 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shelley A Stanforth Md NPPES

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

DR. SHELLEY A STANFORTH MD (NPI 1689774085) is an individual family medicine provider in Maineville, Ohio, licensed in Ohio (35-065438) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1992).

NPPES Registry Identity

NPI1689774085
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHELLEY A STANFORTHCredential: MD
Location Address67 NUNNER RDMaineville, OH 45039
Mailing Address67 Nunner Rd.Maineville, OH 45039 · (513) 677-2405 · Fax (513) 677-2781
Phone(513) 677-2405
Fax(513) 677-2781
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1992
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 28, 2009
✔ NPI 1689774085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-065438
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
67 NUNNER RD, Maineville, OH 45039
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Other Identifiers 4

Other36-06-5438OH · State License
Medicaid2032606OH
Medicare UPING58908OH
Medicare PINST0832836OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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. Shelley A Stanforth 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 ID5092796482
PECOS Enrollment IDI20041122000038
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.

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.
382 services123 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
341 services107 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
120 services44 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.
96 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
52 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45039 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers36 claims53 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims17 services$1.13 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 4

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

MRS. TIFFANY DAWN HOPKINS LISW-S
Social Worker (Clinical)
67 NUNNER RD
MAINEVILLE, OH 45039
Warren County (513) 677-2405
CYNTHIA SCHMIDLIN
Physical Therapist
67 NUNNER RD
MAINEVILLE, OH 45039
Warren County (513) 677-1220
REBECCA MACKENZIE MOATES FNP-C
Nurse Practitioner (Family)
67 NUNNER RD
MAINEVILLE, OH 45039
Warren County (513) 677-2405
TED J SCHOETTINGER MD
Family Medicine
67 NUNNER RD
MAINEVILLE, OH 45039
Warren County (513) 677-2405

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 Shelley Stanforth's NPI number?

The NPI number for Shelley Stanforth is 1689774085. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Shelley Stanforth located?

Shelley Stanforth practices at 67 Nunner Rd, Maineville, OH 45039. The listed phone number is (513) 677-2405.

What is Shelley Stanforth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelley Stanforth enrolled in Medicare?

Yes. Shelley Stanforth 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 Shelley Stanforth accept?

Health plans from CareSource and UnitedHealthcare list Shelley Stanforth 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 Shelley Stanforth affiliated with any hospitals?

According to CMS data, Shelley Stanforth is affiliated with Clinton Memorial Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Shelley Stanforth was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.