STANTON C. PACKARD M.D.
NPI 1902902257
Family Medicine in Pasadena, TX
About Stanton C. Packard M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANTON C. PACKARD M.D. (NPI 1902902257) is an individual family medicine provider in Pasadena, Texas, licensed in Texas (J6641) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanton C. Packard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stanton Packard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Amarillo, TX 79119
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASADENA, TX 77504
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 Stanton Packard's NPI number?
The NPI number for Stanton Packard is 1902902257. It was assigned to this individual provider in the NPPES registry on September 15, 2006.
Where is Stanton Packard located?
Stanton Packard practices at 4002 Burke Rd, Pasadena, TX 77504. The listed phone number is (281) 606-2020.
What is Stanton Packard's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stanton Packard enrolled in Medicare?
Yes. Stanton Packard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stanton Packard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanton Packard reassigns Medicare benefits to Regenerative Medicine Center Of Texas, PLLC (Amarillo, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stanton Packard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stanton Packard accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Stanton Packard 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.
When was this NPI record last updated?
The NPPES record for Stanton Packard was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Stanton C. Packard, M.D. · NPI 1902902257
Family Medicine physician in Pasadena, Texas. Individual provider, active in the CMS NPPES registry since September 15, 2006.
## Identity
- **NPI:** 1902902257 (Entity type: Individual)
- **Enumerated:** September 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** J6641 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4002 BURKE RD, Pasadena, TX 77504-3451
- **Phone:** (281) 606-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regenerative Medicine Center Of Texas, PLLC (NPI 1467888420, Amarillo, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2013
- **Other identifiers:** Medicaid 138556917 (TX); Medicare PIN 8F5650 (TX); Medicare UPIN F90863 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1902902257) · Data from the CMS NPPES public registry.