DR. ARLEN STAUFFER M.D.
NPI 1790713139
Family Medicine in Parker, CO

Q: What is Arlen Stauffer's NPI number?

The NPI number for Arlen Stauffer is 1790713139. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Arlen Stauffer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Arlen Stauffer was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment

74.53/100

CMS Quality Rating

12230 LIONESS WAY, PARKER, CO 80134(720) 644-9355(720) 523-1654 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2023, Sep 23, 2021 (2 updates tracked since 2021).

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About Dr. Arlen Stauffer M.d. NPPES

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

DR. ARLEN STAUFFER M.D. (NPI 1790713139) is an individual family medicine provider in Parker, Colorado, licensed in Colorado (DR.0066576) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1980).

NPPES Registry Identity

NPI1790713139

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ARLEN STAUFFERCredential: M.D.

Location Address12230 LIONESS WAYParker, CO 80134-5603

Mailing Address9250 E Costilla Ave Ste 540Greenwood Village, CO 80112-3648 · (720) 644-9355 · Fax (720) 523-1654

Phone(720) 644-9355

Fax(720) 523-1654

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1980

Enumeration DateJune 28, 2006

Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1790713139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · DR.0066576

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.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License DR.0066576 (CO)

12230 LIONESS WAY, Parker, CO 80134

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Other Identifiers 3

Medicaid067499100FL

Other64470FL · Blue Cross Blue Shield Of Florida

Other1790713139FL · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arlen Stauffer M.d. 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 ID5395842652

PECOS Enrollment IDI20210916000256

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.

Medicare Billing Reassignments

Medicare enrollment records show Arlen Stauffer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Consultants PLLC

4.3 mi

Internal Medicine

9250 E COSTILLA AVE STE 540
Greenwood Village, CO 80112

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: Summit Medical Consultants Aco Prof LLC
89 clinicians in this Medicare group

NPI 1265822910 (720) 644-9355

Summit Medical Consultants PLLC

4.3 mi

Internal Medicine

9250 E COSTILLA AVE STE 540
Greenwood Village, CO 80112

Reassigned Medicare billing, Colorado enrollment
91 clinicians in this Medicare group

NPI 1265822910 (720) 644-9355

Halifax Healthcare Systems Inc

1,529 mi

Family Medicine

303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment
786 clinicians in this Medicare group

NPI 1245283530 (386) 254-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,389 services322 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

472 services201 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

221 services189 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.

150 services117 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

120 services23 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80134 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

74.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

52.71

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 7

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

6 suppliers11 claims11 services$42.96 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers23 claims23 services$56.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers45 claims45 services$75.73 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

5 suppliers12 claims12 services$32.35 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

5 suppliers37 claims37 services$19.21 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

2 suppliers24 claims24 services$33.36 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 20

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

KIRSTEN DEROODE PA-C

Physician Assistant (Medical)