Active NPI 1336193200 Individual Practitioner Male Practitioner

Dr. Jon L Stanford , MD

Surgery • Carrollton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Stanford, MD is a certified Surgery practicing in Carrollton, GA. With approximately 30 years of clinical experience since graduating from Ohio State University College Of Medicine in 1996, Dr. Stanford delivers high-quality medical care to the local community at 119 AMBULANCE DR # DT.

Dr. Stanford is affiliated with Tanner Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

119 Ambulance Dr # Dt
Suite 202

Carrollton, GA 301173857

Telephone 7708343336

Fax 7708322331

Associated Practice Facility / Clinic

🏢 Carrollton Surgical Group, P. A. Facility NPI 1417931825

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Carrollton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.8 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

13 Specialists

Practicing in Carrollton, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stanford (30 Years) 30 Yrs

Carrollton Specialty Average (22.2 Years) 22.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$399.00	$157.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$319.00	$124.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$168.00	$75.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	14	$101.00	$47.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	25	$95.19	$48.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$319.00	$126.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$399.00	$159.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$135.00	$53.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$268.00	$106.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$41.00	$17.57
99238 Hospital discharge day management, 30 minutes or less	11	11	$170.00	$78.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	34	$158.00	$67.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	29	$121.00	$53.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$361.00	$155.88
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$224.00	$97.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$241.00	$102.09
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$196.00	$86.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	39	$97.75	$52.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$342.59	$158.51
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	22	13	$5590.91	$1823.75
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$148.86	$87.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$148.42	$70.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$234.67	$108.29
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$204.31	$98.59
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$291.50	$55.40
36471 Injection of chemical agent into multiple incompetent veins of leg	11	11	$795.55	$251.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	45	$93.00	$43.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	23	$132.00	$72.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$328.00	$159.68
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$127.00	$72.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$232.00	$103.75
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	16	11	$5208.00	$1279.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$85.00	$39.15
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$81.00	$18.76
36471 Injection of chemical agent into multiple incompetent veins of leg	13	11	$545.46	$154.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	59	$93.00	$42.67
99213 Established patient office or other outpatient visit, typically 15 minutes	59	43	$127.00	$71.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$328.00	$151.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	27	$132.00	$71.73
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	27	$81.00	$18.65
76937 Ultrasonic guidance for blood vessel access	25	25	$78.00	$14.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$198.00	$101.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$232.00	$104.32
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$3205.00	$340.82
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$161.00	$94.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$267.00	$135.18
99225 Subsequent observation care, typically 25 minutes per day	11	11	$121.00	$72.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	72	$93.00	$41.46
99213 Established patient office or other outpatient visit, typically 15 minutes	82	64	$127.00	$68.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$328.00	$157.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	26	$132.00	$71.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$232.00	$103.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$85.00	$38.33
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	21	16	$5369.05	$2159.33
76937 Ultrasonic guidance for blood vessel access	20	20	$78.00	$14.24
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$81.00	$18.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$198.00	$102.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$372.00	$198.16
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3205.00	$338.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	60	$127.00	$68.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	48	$93.00	$40.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$328.00	$154.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	37	$85.00	$38.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$267.00	$132.84
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$161.00	$95.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$198.00	$97.99
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	21	16	$5704.00	$1456.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	20	$132.00	$70.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$232.00	$102.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$90.47	$18.60
76937 Ultrasonic guidance for blood vessel access	15	15	$78.00	$14.15
99238 Hospital discharge day management, 30 minutes or less	13	13	$168.00	$65.87

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 065186

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License SC 24016

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

T81177 (SC)

Hospital & Practice Group Affiliations

Tanner Medical Group Inc

601 Dallas Hwy, Villa Rica, GA 301801202

Phone: 7708129666

Tanner Medical Group Inc

157 Clinic Ave, Carrollton, GA 301174454

Tanner Medical Group Inc

690 Dallas Hwy 207a, Villa Rica, GA 301801263

Phone: 7708125902

Tanner Medical Group Inc

690 Dallas Hwy, Villa Rica, GA 301801263

Phone: 7708123631

Tanner Medical Group Inc

705 Dixie St, Carrollton, GA 301173818

Phone: 7708129666

Tanner Medical Group Inc

601 Dallas Hwy, Villa Rica, GA 301801202

Phone: 7708123631

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Austin Lewis , MD

Surgery

NPI 1003256983

Doctor of Medicine (M.D.)

Madison Hancock , PA

Physician Assistant

NPI 1003607516

Physician Assistant

Dr. David Griffin , MD

Surgery

NPI 1083698096

Doctor of Medicine (M.D.)

Dr. Scott Denham , MD

Emergency Medicine

NPI 1184851701

Doctor of Medicine (M.D.)

Sarah Nowicki , PA-C

Physician Assistant

NPI 1346085040

Physician Assistant (Certified)

Kathryn Samples , PA-C

Physician Assistant - Surgical

NPI 1386628790

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2013

Registered at 119 AMBULANCE DR # DT, SUITE 202, CARROLLTON, GA 301173857 (Tel: 7708343336)

📍

Updated Business Mailing Address August 08, 2013

Registered at 157 CLINIC AVE, SUITE 302, CARROLLTON, GA 301174454 (Tel: 7708343336)

👤

Provider Name / Credentials Updated August 08, 2013

Recorded as JON STANFORD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Specialist (License #24016 in SC)

🟢

Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336193200

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 22, 2006

Last Update: August 08, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

157 Clinic Ave, Suite 302

Carrollton, GA 301174454

Phone: 7708343336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.