Michael James Stagner, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

24627 Issued in AZ

Practice address

40 Capri Blvd Ste 102
Lake Havasu City, AZ 86403-5661

Phone

(928) 855-9477

Fax

(928) 855-2983

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Ophthalmology

Education

Creighton University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.86 of 100Reported as group

Quality

81.82

Promoting interoperability

100

Improvement activities

40

Cost

64.4

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: michael.stagner.p11@direct.avp.nextgenshare.com

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

• Barnet Dulaney Perkins Eye Center, PC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1376574707
  Medicare reassignment Care Compare group NPD
• Southwestern Eye Center LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1023063187
  Medicare reassignment NPD
• Barnet Dulaney Perkins Eye Center II PLLC

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1205305620
  NPD
• Barnet Dulaney Perkins Eye Center, PC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1043910078
  NPD
• Southwestern Eye Center LTD

  • Optometrist
  • Sedona, AZ
  • NPI 1144645391
  NPD
• Southwestern Eye Center, LTD

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
  • NPI 1558102608
  NPD
• Barnet Dulaney Perkins Eye Center, PC

  • Ophthalmology Physician
  • Cottonwood, AZ
  • NPI 1013952522
  NPD (past)
• James a Tammaro MD PC

  • Ophthalmology Physician
  • Lake Havasu City, AZ
  • NPI 1194797795
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1720069982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CAPRI BLVD STE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035661",
            "telephone_number": "928-855-9477",
            "fax_number": "928-855-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGNER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "24627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359788",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rian William Spear, PHARMD
• Peter Walmy St Louis Angervil
• Yvonne St. John, RN
• Philip Andre' St. Raymond, MD
• Stability Mobilized, LLC
• June Staley, PMHNP
• Statewide Express
• Caroline Steele
• Jessica Anne Stello, SLPA
• Alana Stern, PA-C

• Ophthalmology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.