Individual provider Active NPI

Craig Elam Stauffer, MD

  • Urology Physician
  • Monterey, CA
National Provider Identifier
1689932709
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A126843 Issued in CA
Practice address
23845 Holman Hwy Ste 203
Monterey, CA 93940
Phone
(831) 241-9155
Fax
(831) 886-3616
NPI assigned
Apr 26, 2012
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A126843 CA Primary

Addresses

Primary practice location

23845 Holman Hwy Ste 203
Monterey, CA 93940

Mailing address

23845 Holman Hwy Ste 203
Monterey, CA 93940-5901
Phone (831) 241-9155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118000679 CA Practitioner - Urology 1557620655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Maryland School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

23845 Holman Hwy
Suite 203
Monterey, CA 93940-5901
Phone (831) 241-9155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montage Medical Group CurrentSince Feb 16, 2018 Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23845 Holman Hwy
Ste 203
Monterey, CA 93940
Phone (831) 241-9155

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1689932709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 203",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405901",
            "telephone_number": "831-241-9155",
            "fax_number": "831-886-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 203",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-241-9155",
            "fax_number": "831-886-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "CRAIG",
        "middle_name": "ELAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A126843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.