DR. DOUGLAS LEE STOFKO D.O.
NPI 1942525704
Neurological Surgery in Tucson, AZ

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
350 N WILMOT RD, TUCSON, AZ 85711(520) 296-3211(520) 873-3921 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2025, Mar 6, 2025 (2 updates tracked since 2025).

About Dr. Douglas Lee Stofko D.o. NPPES

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

DR. DOUGLAS LEE STOFKO D.O. (NPI 1942525704) is an individual neurological surgery provider in Tucson, Arizona, licensed in Tennessee (DO2774) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942525704
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DOUGLAS LEE STOFKOCredential: D.O.
Location Address350 N WILMOT RDTucson, AZ 85711-2602
Mailing Address930 E Emerald Ave, Suite 511Knoxville, TN 37917-4539 · (865) 647-3330 · Fax (865) 647-3349
Fax(520) 873-3921
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 5, 2010
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1942525704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in TN · DO2774✔ Licensed in CO · DR.0060443✔ Licensed in NC · 2025-03646
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
350 N WILMOT RD, Tucson, AZ 85711

Secondary Practice Locations 2

Location 1930 E Emerald Ave, Suite 511Knoxville, TN 37917-4539 · Phone (865) 647-3330 · Fax (865) 647-3349
Location 211750 W 2nd Pl Ste 255Lakewood, CO 80228-1726 · Phone (720) 638-7500 · Fax (720) 321-8041

Accepted 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. Douglas Lee Stofko D.o. 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 ID7517100308
PECOS Enrollment IDI20180907001353, I20251208001454
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

8

Medicare enrollment records show Douglas Stofko reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
604 S RIO GRANDE AVE
Aztec, NM 87410
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
Family Medicine
201 YELLOWSTONE AVE
Cody, WY 82414
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
Primary Care
10 ROBINSON LN
Red Lodge, MT 59068
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Scl Health Montana
  • 186 clinicians in this Medicare group
1,615 mi
Family Medicine
111 W PINE GROVE RD
Fair Play, SC 29643
  • Reassigned Medicare billing, South Carolina enrollment
  • 381 clinicians in this Medicare group
Surgery
80 PEACHTREE RD STE 210
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
Internal Medicine
701 MEDICAL PARK DR
Hartsville, SC 29550
  • Reassigned Medicare billing, South Carolina enrollment
  • 116 clinicians in this Medicare group
Urgent Care
964 LOCHEND DR
Darlington, SC 29532
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Carolina Pines Regional Medical Center

Acute Care Hospitals · Hartsville, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420010
Location1304 W Bobo Newsom HwyHartsville, SC 29550 · Darlington County
Emergency services Birthing friendly

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist
350 N WILMOT RD, OUTPATIENT REHABILITATION
TUCSON, AZ 85711
Specialist
350 N WILMOT RD, NEWBORN INTENSIVE CARE UNIT
TUCSON, AZ 85711
Pathology (Anatomic Pathology & Clinical Pathology)
350 N WILMOT RD
TUCSON, AZ 85711
Emergency Medicine
350 N WILMOT RD
TUCSON, AZ 85711
Nurse Practitioner (Neonatal, Critical Care)
350 N WILMOT RD
TUCSON, AZ 85711
Emergency Medicine
350 N WILMOT RD
TUCSON, AZ 85711
Emergency Medicine
350 N WILMOT RD
TUCSON, AZ 85711
Registered Nurse
350 N WILMOT RD
TUCSON, AZ 85711

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 Douglas Stofko's NPI number?

The NPI number for Douglas Stofko is 1942525704. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Douglas Stofko located?

Douglas Stofko practices at 350 N Wilmot Rd, Tucson, AZ 85711. The listed phone number is (520) 296-3211.

What is Douglas Stofko's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Douglas Stofko enrolled in Medicare?

Yes. Douglas Stofko 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.

Which organizations bill Medicare for Douglas Stofko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Stofko reassigns Medicare benefits to 8 organizations: Catholic Health Initiatives Colorado (Aztec, NM), Billings Clinic (Cody, WY), St. Vincent Healthcare (Red Lodge, MT), Anmed Health (Fair Play, SC), Novant Health Medical Group, LLC (Asheville, NC) and 3 more organizations, listed in the Medicare section above. Each 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 Douglas Stofko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Stofko accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Cigna Healthcare and First Choice Next and 4 other insurers list Douglas Stofko 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 Douglas Stofko affiliated with any hospitals?

According to CMS data, Douglas Stofko is affiliated with Carolina Pines Regional Medical Center, Anmed Health and Mcleod Regional Medical Center-Pee Dee.

When was this NPI record last updated?

The NPPES record for Douglas Stofko was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.