Active NPI 1013178029 Individual Practitioner Male Practitioner

Dr. Todd S Stafford , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Stafford, MD is a certified Surgery practicing in Providence, RI. With approximately 18 years of clinical experience since graduating from Temple University School Of Medicine in 2008, Dr. Stafford delivers high-quality medical care to the local community at 195 COLLYER ST STE 302.

Dr. Stafford maintains professional affiliations with Lifespan Physician Group Inc, University Surgical Associates, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

195 Collyer St Ste 302

Providence, RI 029041869

Telephone 4012280633

Fax 4017935171

Associated Practice Facility / Clinic

🏢 University Surgical Associates, Inc. Facility NPI 1376589895

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -6.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

95 Specialists

Practicing in Providence, RI (160 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stafford (18 Years) 18 Yrs

Providence Specialty Average (24.5 Years) 24.5 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$157.24	$48.84
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$277.41	$91.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$350.60	$108.22
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$4988.00	$946.29
49650 Repair of groin hernia using an endoscope	12	12	$1564.33	$484.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	31	$162.00	$50.05
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$295.00	$90.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$366.00	$114.24
99283 Emergency department visit with low level of medical decision making	27	26	$234.00	$72.26
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$237.00	$70.57
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	17	17	$5034.00	$968.29
47562 Removal of gallbladder using an endoscope	13	13	$2174.00	$643.79
99238 Hospital discharge day management, 30 minutes or less	12	12	$263.00	$81.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	20	$123.00	$39.33
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$295.00	$92.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$361.00	$112.68
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$234.00	$75.70
99283 Emergency department visit with low level of medical decision making	17	17	$233.00	$73.80
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	15	15	$4988.00	$940.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$184.00	$52.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	34	$123.00	$39.39
99283 Emergency department visit with low level of medical decision making	28	28	$231.00	$74.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$184.00	$58.83
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$234.00	$76.44
99221 Initial hospital inpatient care per day, typically 30 minutes	21	19	$321.10	$103.77
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$295.00	$92.76
47562 Removal of gallbladder using an endoscope	14	14	$2160.00	$691.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	33	$122.00	$40.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$125.00	$47.86
99283 Emergency department visit with low level of medical decision making	23	23	$202.00	$67.91
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$215.00	$79.99
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$325.20	$106.09
99284 Emergency department visit with moderate level of medical decision making	11	11	$372.00	$124.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	34	$123.90	$40.60
99213 Established patient office or other outpatient visit, typically 15 minutes	38	29	$175.00	$77.01
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$186.90	$79.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$125.00	$46.83
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$317.15	$104.58
99282 Emergency department visit with straightforward medical decision making	14	14	$129.00	$42.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	31	$125.19	$40.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	30	$125.00	$45.68
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$318.91	$104.85
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$175.00	$75.83
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$178.33	$78.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	22	$122.00	$40.15
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$150.00	$75.18
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$315.00	$103.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$283.93	$111.04

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD14236

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License RI LP01494

Hospital & Practice Group Affiliations

University Surgical Associates, Inc.

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Lifespan Physician Group Inc

195 Collyer St, Providence, RI 029041869

Phone: 4012721800

Practice Associates & Co-Workers

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

13 Associated Practitioners

Kristen Chapian , CNP

Nurse Practitioner

NPI 1003463316

Certified Nurse Practitioner

Dr. Junaid Malek , MD

Surgery - Vascular Surgery

NPI 1487769162

Doctor of Medicine (M.D.)

Sunhe Fusco

Nurse Practitioner - Adult Health

NPI 1487902276

Dr. Sivamainthan Vithiananthan , MD

Surgery

NPI 1568458727

Doctor of Medicine (M.D.)

Emily Henault , PA-C

Physician Assistant - Surgical

NPI 1598077588

Physician Assistant (Certified)

Cristina Ruggieri , PA

Physician Assistant

NPI 1609367168

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location January 29, 2020

Registered at 195 COLLYER ST STE 302, PROVIDENCE, RI 029041869 (Tel: 4012280633)

✅

NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2013

Registered at 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 029053236 (Tel: 4012721800)

📍

Updated Business Mailing Address May 29, 2013

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤

Provider Name / Credentials Updated May 29, 2013

Recorded as TODD STAFFORD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

Surgery (License #MD14236 in RI)

🟢

Initial NPI Registration & Enumeration June 23, 2008

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: 1013178029

Entity Type:

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

Enumeration Date: June 23, 2008

Last Update: January 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

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.