STANFORD ALLEN OWEN MD
NPI 1972587418
Internal Medicine in Gulfport, MS

Active since November 29, 2005PECOS Enrolled
3300 15TH ST, GULFPORT, MS 39501(228) 864-9669(228) 864-9774 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stanford Allen Owen Md NPPES

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

STANFORD ALLEN OWEN MD (NPI 1972587418) is an individual internal medicine provider in Gulfport, Mississippi, licensed in Mississippi (08597) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972587418
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTANFORD ALLEN OWENCredential: MD
Location Address3300 15TH STGulfport, MS 39501-3901
Mailing Address3300 15th StGulfport, MS 39501-3901 · (228) 864-9669 · Fax (228) 864-9774
Fax(228) 864-9774
Sole ProprietorYes
Enumeration DateNovember 29, 2005
Last NPPES UpdateSeptember 4, 2014
NPI 1972587418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MS · 08597 Licensed in LA · 013830
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 08597 (MS)
3300 15TH ST, Gulfport, MS 39501

Other Identifiers 7

Other110115663LA · Railroad Medicare
Medicaid00017546MS
Medicaid1198455LA
Medicare UPINB89751
Other110121961MS · Railroad Medicare
Medicare ID-Type Unspecified54616LA
Medicare ID-Type Unspecified111948010MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stanford Allen Owen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$58.24 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$17.52 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers14 claims14 services$15.87 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims108 services$2.28 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$28.84 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 4

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

Dietitian, Registered
3300 15TH ST
GULFPORT, MS 39501
Internal Medicine
3300 15TH ST
GULFPORT, MS 39501
Nurse Practitioner (Family)
3300 15TH ST
GULFPORT, MS 39501
Internal Medicine
3300 15TH ST
GULFPORT, MS 39501

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 Stanford Owen's NPI number?

The NPI number for Stanford Owen is 1972587418. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Stanford Owen located?

Stanford Owen practices at 3300 15th St, Gulfport, MS 39501. The listed phone number is (228) 864-9669.

What is Stanford Owen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stanford Owen enrolled in Medicare?

Yes. Stanford Owen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stanford Owen was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.