Individual provider Active NPI

William Clayton Stafford, M.D.

  • Emergency Medicine Physician
  • Stanford, KY
National Provider Identifier
1972691541
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
41705 Issued in KY
Practice address
103 Hilltopper Dr
Stanford, KY 40484-1073
Phone
(270) 963-6011
NPI assigned
Oct 10, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 41705 KY Primary
Family Medicine Physician 207Q00000X 125050533 IL
Family Medicine Physician 207Q00000X 41705 KY

Addresses

Primary practice location

103 Hilltopper Dr
Stanford, KY 40484-1073

Mailing address

103 Hilltopper Dr
Stanford, KY 40484-1073
Phone (270) 963-6011

Other practice location 1

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081121000171 KY Practitioner - Family Practice 6709956485 Reassigns benefits to 5 organizations
I20240819000726 MI Practitioner - Emergency Medicine 6709956485 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7390

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41705KYMDEmergency Medicine Physician
125050533ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emhfl, Inc. Family Medicine CurrentSince Aug 9, 2014 Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Sep 19, 2024 Accepting new patients
Rockcastle Emergency Group, LLC Emergency Medicine CurrentSince Aug 28, 2024 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Sep 19, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 18, 2014 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Emhfl, Inc. Family Medicine CurrentSince Aug 9, 2014 Accepting new patients
Mymichigan Medical Center Alpena Emergency Medicine CurrentSince Sep 19, 2024 Accepting new patients
Mymichigan Medical Center West Branch Family Medicine CurrentSince Sep 19, 2024 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Alma Emergency Medicine CurrentSince Sep 19, 2024 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince May 6, 2024 Accepting new patients
Mymichigan Medical Center West Branch Emergency Medicine CurrentSince Sep 19, 2024 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Sep 19, 2024 Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Sep 19, 2024 Accepting new patients
JMHC Inc Past Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

110 Metker Trl
Ste C
Stanford, KY 40484

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fort Logan HospitalStanford, KY, CCN 181315 Hospital Corporate Director Jan 1, 2018
Fort Logan HospitalStanford, KY, CCN 18Z315 Hospital Corporate Director Jan 1, 2022
Ephraim McDowell Garrard ClinicLancaster, KY, CCN 188512 Rural health clinic Corporate Director Jul 1, 2018
Liberty Family Medical CenterLiberty, KY, CCN 183430 Rural health clinic Corporate Director Jul 1, 2018
North Garrard Family Medical CenterLancaster, KY, CCN 188513 Rural health clinic Corporate Director Jul 1, 2018
Fort Logan Walk-in & Primary CareStanford, KY, CCN 188516 Rural health clinic Corporate Director Jul 1, 2018
Danville Family PhysiciansDanville, KY, CCN 188523 Rural health clinic Corporate Director Jan 1, 2018

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1972691541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HILLTOPPER DR",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841073",
            "telephone_number": "270-963-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HILLTOPPER DR",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841073",
            "telephone_number": "270-963-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W Chisholm St",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497071401",
            "country_code": "US",
            "telephone_number": "989-356-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "WILLIAM",
        "middle_name": "CLAYTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "41705",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125050533",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.