DR. WILLIAM LEWIS STAFFORD JR. MD
NPI 1932287174
Family Medicine - Geriatric Medicine in Fort Thomas, KY

Active since November 02, 2006PECOS Enrolled
90.38/100
CMS Quality Rating
85 N GRAND AVE, FORT THOMAS, KY 41075(859) 912-7211(859) 655-6674 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2021, Aug 5, 2020, Jan 11, 2019 and 1 more (4 updates tracked since 2017).

About Dr. William Lewis Stafford Jr. Md NPPES

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

DR. WILLIAM LEWIS STAFFORD JR. MD (NPI 1932287174) is an individual geriatric medicine provider in Fort Thomas, Kentucky, licensed in Kentucky (23217) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932287174
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. WILLIAM LEWIS STAFFORD JR.Credential: MD
Location Address85 N GRAND AVEFort Thomas, KY 41075-1793
Mailing AddressPo Box 635283Cincinnati, OH 45263-5446 · (593) 445-5558 · Fax (859) 344-5552
Fax(859) 655-6674
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateMarch 8, 20214 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
NPI 1932287174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in KY · 23217
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 23217 (KY)
85 N GRAND AVE, Fort Thomas, KY 41075

Other Identifiers 3

OtherK070350KY · Ky Medicare
Medicaid2982812OH
Medicaid64232176KY

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 (PECOS)

Dr. William Lewis Stafford Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
48 services15 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
33%24 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%46 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Physician Assistant
85 N GRAND AVE
FORT THOMAS, KY 41075
Pharmacist
85 N GRAND AVE
FORT THOMAS, KY 41075
Physical Therapist
85 N GRAND AVE
FORT THOMAS, KY 41075
Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Geriatric Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075
Respiratory Therapist, Certified
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Hospice and Palliative Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075

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 William Stafford's NPI number?

The NPI number for William Stafford is 1932287174. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is William Stafford located?

William Stafford practices at 85 N Grand Ave, Fort Thomas, KY 41075. The listed phone number is (859) 912-7211.

What is William Stafford's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is William Stafford enrolled in Medicare?

Yes. William Stafford is registered in the Medicare PECOS enrollment system.

What insurance does William Stafford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list William Stafford 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 William Stafford was last updated on March 8, 2021. 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.