Individual provider Active NPI

Douglas Lee Stofko, D.O.

  • Neurological Surgery Physician
  • Tucson, AZ
National Provider Identifier
1942525704
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
DO2774 Issued in TN
Practice address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone
(520) 296-3211
Fax
(520) 873-3921
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X DR.0060443 CO
Neurological Surgery Physician 207T00000X DO2774 TN Primary
Neurological Surgery Physician 207T00000X 2025-03646 NC

Addresses

Primary practice location

350 N Wilmot Rd
Tucson, AZ 85711-2602

Mailing address

930 E Emerald Ave
Suite 511
Knoxville, TN 37917-4539
Phone (865) 647-3330

Other practice location 1

930 E Emerald Ave
Suite 511
Knoxville, TN 37917-4539
Phone (865) 647-3330

Other practice location 2

11750 W 2nd Pl Ste 255
Lakewood, CO 80228-1726
Phone (720) 638-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CO, MT, AZ, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180907001353 SC Practitioner - Neurosurgery 7517100308 Reassigns benefits to 4 organizations
I20201005000216 CO Practitioner - Neurosurgery 7517100308 Reassigns benefits to 1 organization
I20241125003066 MT Practitioner - Neurosurgery 7517100308 Reassigns benefits to 2 organizations
I20250319003043 AZ Practitioner - Neurology 7517100308 Reassigns benefits to 1 organization
I20251208001454 NC Practitioner - Neurosurgery 7517100308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Practice addresses (Care Compare)

109 Montgomery Dr
Anderson, SC 29621-3333
Phone (864) 224-5700

2724 W Palmetto St
Florence, SC 29501-4909
Phone (843) 292-1900

700 Medical Park Dr
Hartsville, SC 29550-4765
Phone (843) 383-3742

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion24
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011586AZMDEndodontist
DR.0060443COMDNeurological Surgery Physician
2025-03646NCMDNeurological Surgery Physician
DO2774TNMDNeurological Surgery Physician
2774TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Nov 19, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
McLeod Physician Associates II CurrentSince Jan 20, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 1, 2025 Accepting new patients
SCL Health Montana CurrentSince May 16, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 20, 2022 Accepting new patients
Anmed Health CurrentSince Jun 29, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
SCL Health Montana CurrentSince May 16, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Jan 20, 2022 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Feb 5, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 20, 2022 Accepting new patients
Billings Clinic CurrentSince Nov 19, 2024 Accepting new patients
Hartsville Medical Group LLC CurrentSince Apr 1, 2025 Accepting new patients
Anmed Health CurrentSince Jun 29, 2018 Accepting new patients
Anmed Health Current Accepting new patients
McLeod Physician Associates II Current Accepting new patients
St. Vincent Healthcare Past Accepting new patients
Billings Clinic Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

190 Kimel Park Dr
Ste 155
Winston Salem, NC 27103
Phone (336) 765-6637

109 Montgomery Dr
Anderson, SC 29621
Phone (803) 224-5700

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

415 Market St
Cheraw, SC 29520
Phone (843) 213-6170

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

Interoperability endpoints

  • Direct secure messaging: dstofko30935@direct.anmedhealth.net
  • Direct secure messaging: douglas.stofko.1@8689.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
  • Direct secure messaging: douglas.stofko@hca5.eclinicaldirectplus.com

Organizations & group practices 25

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.

View all 25

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1942525704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E EMERALD AVE",
            "address_2": "SUITE 511",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174539",
            "telephone_number": "865-647-3330",
            "fax_number": "865-647-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-296-3211",
            "fax_number": "520-873-3921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 E Emerald Ave",
            "address_2": "Suite 511",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174539",
            "country_code": "US",
            "telephone_number": "865-647-3330",
            "fax_number": "865-647-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 W 2nd Pl Ste 255",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281726",
            "country_code": "US",
            "telephone_number": "720-638-7500",
            "fax_number": "720-321-8041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOFKO",
        "first_name": "DOUGLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "DR.0060443",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "DO2774",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2025-03646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.