DR. CLIFFORD D STAGGS MD
NPI 1851476857
Emergency Medicine in Lexington, SC

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
811 W MAIN ST, LEXINGTON, SC 29072(803) 358-6100(803) 358-6105 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2020, Oct 2, 2020, Jun 6, 2017 (3 updates tracked since 2017).

About Dr. Clifford D Staggs Md NPPES

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

DR. CLIFFORD D STAGGS MD (NPI 1851476857) is an individual emergency medicine provider in Lexington, South Carolina, licensed in South Carolina (14516) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1988).

NPPES Registry Identity

NPI1851476857
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CLIFFORD D STAGGSCredential: MD
Location Address811 W MAIN STLexington, SC 29072-2507
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 358-6105
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1988
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 11, 20203 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
NPI 1851476857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SC · 14516
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
811 W MAIN ST, Lexington, SC 29072

Other Identifiers 1

Medicaid145168SC

Accepted 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. Clifford D Staggs 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 ID8224093547
PECOS Enrollment IDI20041129000771
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 35

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.

Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798
Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.
571 services122 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.
313 services294 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
212 services27 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.
137 services133 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
120 services119 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
118 services115 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

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.

Clinic/Center (Urgent Care)
811 W MAIN ST
LEXINGTON, SC 29072
Family Medicine
811 W MAIN ST
LEXINGTON, SC 29072
Emergency Medicine
811 W MAIN ST
LEXINGTON, SC 29072
Family Medicine
811 W MAIN ST, SUITE 207
LEXINGTON, SC 29072
Nurse Practitioner
811 W MAIN ST, STE 204
LEXINGTON, SC 29072
Nurse Practitioner (Acute Care)
811 W MAIN ST
LEXINGTON, SC 29072
Clinic/Center (Radiology)
811 W MAIN ST
LEXINGTON, SC 29072
Emergency Medicine
811 W MAIN ST
LEXINGTON, SC 29072

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 Clifford Staggs's NPI number?

The NPI number for Clifford Staggs is 1851476857. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Clifford Staggs located?

Clifford Staggs practices at 811 W Main St, Lexington, SC 29072. The listed phone number is (803) 358-6100.

What is Clifford Staggs's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Clifford Staggs enrolled in Medicare?

Yes. Clifford Staggs 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 Clifford Staggs accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Clifford Staggs 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 Clifford Staggs affiliated with any hospitals?

According to CMS data, Clifford Staggs is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Clifford Staggs was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.