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Deactivated NPI 1255483749 Deactivated / Inactive NPI Male Practitioner

Fred Staples , PA-C

Physician Assistant • Randolph, VT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Fred Staples has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 17, 2007
NPI Deactivation Date April 11, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Fred Staples, PA-C was a registered Physician Assistant practicing in Randolph, VT. Throughout an active medical career spanning 11 years, Fred Staples provided care at the practice location at 44 S MAIN ST until profile deactivation on 2018-04-11.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

44 S Main St

Randolph, VT 050601381

Telephone 8027287000
Fax 8027282394
Associated Practice Facility / Clinic
🏢 Gifford Medical Center Inc Facility NPI 1730199647

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Randolph, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Randolph, VT (325 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
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
60 26 $130.82 $60.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
22 22 $265.00 $170.28
99238 Hospital discharge day management, 30 minutes or less
21 20 $132.00 $61.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
21 16 $133.00 $87.68
99221 Initial hospital inpatient care per day, typically 30 minutes
20 20 $192.80 $84.28
99239 Hospital discharge day management, more than 30 minutes
16 16 $343.00 $90.47

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VT 0550030814

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1033977368

STUDENTARNP

Dr. Joshua Plavin , MD

Internal Medicine

NPI 1073526851

Doctor of Medicine (M.D.)

NPI 1124139712

Doctor of Podiatric Medicine

Starr Strong , PA

Physician Assistant

NPI 1134234768

Physician Assistant

Dr. Kenneth Borie , MD

Family Medicine

NPI 1144233206

Doctor of Medicine (M.D.)

Dr. Clyde Smith , MD

Emergency Medicine

NPI 1164530416

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated April 11, 2018

Record deactivated on April 11, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 44 S MAIN ST, RANDOLPH, VT 050601381 (Tel: 8027287000)

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Updated Business Mailing Address July 08, 2007

Registered at 44 S MAIN ST, P.O. BOX 2000, RANDOLPH, VT 050601381 (Tel: 8027287000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FRED STAPLES, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #0550030814 in VT)

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Initial NPI Registration & Enumeration January 17, 2007

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: 1255483749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: July 08, 2007
Deactivation Date: April 11, 2018

Mailing Address

44 S Main St, P.o. Box 2000

Randolph, VT 050601381

Phone: 8027287000

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.