Individual provider Active NPI

William Carter Standeffer Jr., M.D.

  • Orthopaedic Surgery Physician
  • Tuscaloosa, AL
National Provider Identifier
1821040338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22706 Issued in AL
Practice address
305 Paul Bryant Dr E
Tuscaloosa, AL 35401-2094
Phone
(205) 345-0192
Fax
(205) 247-2194
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 22706 AL Primary

Addresses

Primary practice location

305 Paul Bryant Dr E
Tuscaloosa, AL 35401-2094

Mailing address

305 Paul Bryant Dr E
Tuscaloosa, AL 35401-2094
Phone (205) 345-0192

Other identifiers 3

IdentifierTypeStateIssuer
51517519OtherALBLUE CROSS BLUE SHIELD
51500688OtherALBLUE CROSS BLUE SHIELD
51517522OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080728000278 AL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4981787934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopaedic Clinic P CGroup PAC ID 9830091859, 22 clinicians

Practice addresses (Care Compare)

2702 Hospital Dr
Suite 101
Northport, AL 35476-3376
Phone (205) 345-0192

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)41
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Clinic, PC Orthopaedic Surgery CurrentSince Mar 1, 2001 Accepting new patients
The Radiology Clinic LLC Past Accepting new patients
University Orthopaedic Clinic, PC Orthopaedic Surgery PastSince Mar 1, 2001 Accepting new patients

Locations

2702 Hospital Dr
Ste 101
Northport, AL 35476

305 Paul W Bryant Dr E
Tuscaloosa, AL 35401

400 Paul W Bryant Dr E
Tuscaloosa, AL 35401
Phone (205) 345-2627

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821040338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PAUL BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012094",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PAUL BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012094",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDEFFER",
        "first_name": "WILLIAM",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "22706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51517519",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51500688",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51517522",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.