Active NPI 1366443673 Individual Practitioner Male Practitioner

Dr. David M Stanforth , MD

Emergency Medicine • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Stanforth, MD is a certified Emergency Medicine practicing in Edgewood, KY. With approximately 32 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1994, Dr. Stanforth delivers high-quality medical care to the local community at 1 MEDICAL VILLAGE DR.

Dr. Stanforth maintains professional affiliations with Baptist Health Medical Group Inc, Compass Emergency Physicians Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8595723617

Fax 8595722326

Associated Practice Facility / Clinic

🏢 Independent Anesthesiologists Psc Facility NPI 1295716850

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Edgewood, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +13.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

54 Specialists

Practicing in Edgewood, KY (946 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stanforth (32 Years) 32 Yrs

Edgewood Specialty Average (18.9 Years) 18.9 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
99285 Emergency department visit for life threatening or functioning severity	354	346	$843.00	$168.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	281	266	$39.00	$7.72
99284 Emergency department visit with moderate level of medical decision making	125	118	$582.00	$116.50
99291 Critical care, first 30-74 minutes	70	70	$1016.00	$201.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	182	181	$683.00	$167.91
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	170	165	$32.00	$7.70
99284 Emergency department visit with moderate level of medical decision making	105	104	$463.00	$114.72
99291 Critical care, first 30-74 minutes	46	46	$871.00	$202.28
99283 Emergency department visit with low level of medical decision making	27	27	$244.00	$68.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	207	206	$683.00	$171.22
99284 Emergency department visit with moderate level of medical decision making	95	95	$463.00	$118.91
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	65	$32.00	$7.94
99291 Critical care, first 30-74 minutes	42	41	$871.00	$206.88
99283 Emergency department visit with low level of medical decision making	17	17	$244.00	$70.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	236	233	$683.00	$176.13
99284 Emergency department visit with moderate level of medical decision making	112	110	$463.00	$119.61
99291 Critical care, first 30-74 minutes	38	38	$871.00	$214.51
99283 Emergency department visit with low level of medical decision making	20	20	$244.00	$71.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	297	287	$685.03	$171.38
99284 Emergency department visit with moderate level of medical decision making	109	108	$463.00	$117.28
99291 Critical care, first 30-74 minutes	32	32	$871.00	$215.67
99283 Emergency department visit with low level of medical decision making	22	22	$244.00	$64.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	349	338	$674.29	$169.77
99284 Emergency department visit with moderate level of medical decision making	173	169	$455.60	$113.77
99291 Critical care, first 30-74 minutes	52	52	$857.50	$217.10
99283 Emergency department visit with low level of medical decision making	25	25	$241.20	$60.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	355	348	$588.00	$166.66
99284 Emergency department visit with moderate level of medical decision making	160	156	$399.00	$113.55
99291 Critical care, first 30-74 minutes	45	45	$754.00	$214.70
99283 Emergency department visit with low level of medical decision making	34	34	$209.00	$58.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	339	331	$588.00	$165.28
99284 Emergency department visit with moderate level of medical decision making	195	191	$399.00	$111.76
99291 Critical care, first 30-74 minutes	55	55	$754.00	$214.28
99283 Emergency department visit with low level of medical decision making	46	46	$209.00	$58.38

Medical Specialties & State Licenses

CMS Verified: 2025-04-03

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License KY 32254

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0459221 (OH)

Medicaid State Provider ID

64055759 (KY)

Medicaid State Provider ID

200914600 (IN)

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

3516 E 10th St, Jeffersonville, IN 471309315

Phone: 8129818970

Compass Emergency Physicians Psc

600 Wilson Creek Rd, Lawrenceburg, IN 470252751

Phone: 8595723617

Compass Emergency Physicians Psc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8593012250

Baptist Health Medical Group Inc

7702 Bardstown Rd, Louisville, KY 402913207

Phone: 5029284700

Secondary Practice Locations

238 Barnes Rd

Williamstown, KY 410979482

Phone: 8598248240

85 N Grand Ave

Fort Thomas, KY 410754027

Phone: 8595723618

1500 James Simpson Jr Way

Covington, KY 410110801

Phone: 8596554353

600 Wilson Creek Rd

Lawrenceburg, IN 470252751

Phone: 8125322700

4900 Houston Rd

Florence, KY 410424824

Phone: 8592125441

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Richard Stewart , DO

Emergency Medicine

NPI 1003010539

Doctor of Osteopathic Medicine (D.O.)

Dr. Sanjoydeb Mukherjee , MD

Emergency Medicine

NPI 1033110317

Doctor of Medicine (M.D.)

Dr. Harry Mills , MD

Emergency Medicine

NPI 1063413409

Doctor of Medicine (M.D.)

Dr. Trevor Skrobut , MD

Emergency Medicine

NPI 1063943850

Doctor of Medicine (M.D.)

Dr. John Sherman , MD

Emergency Medicine

NPI 1104827245

Doctor of Medicine (M.D.)

Dr. Anne Grisoli , MD

Emergency Medicine

NPI 1164009924

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address April 03, 2025

Registered at PO BOX 638685, CINCINNATI, OH 452638685 (Tel: 8778825644)

✅

NPI Profile Active July 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2015

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8595723617)

📍

Updated Business Mailing Address July 15, 2015

Registered at PO BOX 18667, ERLANGER, KY 410180667 (Tel: 8595723617)

👤

Provider Name / Credentials Updated July 15, 2015

Recorded as DAVID STANFORTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2015

Emergency Medicine (License #32254 in KY)

🟢

Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. David Stanforth. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366443673

Entity Type:

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

Enumeration Date: August 09, 2005

Last Update: April 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 638685

Cincinnati, OH 452638685

Phone: 8778825644

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.