Dr. Sidney Lawson Stapleton , MD
Surgery • Decatur, GA
2665 N Decatur Rd Ste 130
Decatur, GA 30033
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 11, 2005; this date does not establish years in practice.
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Published CMS data list 45 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99213 — Established patient outpatient office visit: 27 service units.
- 99214 — Established patient outpatient office visit: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 24 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Propafenone Hcl — 13 prescription fills, including refills.
- Tamsulosin Hcl — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 177 in 2017 to 45 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
2665 N Decatur Rd Ste 130
Decatur, GA 30033
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Decatur, GA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $3,733 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
Paid by Medicare
About $2,119 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
30-day fills
28 standardized 30-day fills in 2019
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,258 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Decatur and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Stapleton are from 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Stapleton are from 2019.
18 active clinicians are listed under Surgery with a practice address in Decatur, GA (991 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Decatur
16.7% of these 18 clinicians have the CMS telehealth indicator.
55.6% of these 18 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 75% from 177 in 2017 to 45 in 2018.
- 2017: 177
- 2018: 45
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Medicare-allowed amount
Medicare-allowed amount decreased 79% from $17,640 in 2017 to $3,733 in 2018.
- 2017: $17,640
- 2018: $3,733
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Paid by Medicare
Paid by Medicare decreased 83% from $12,530 in 2017 to $2,119 in 2018.
- 2017: $12,530
- 2018: $2,119
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 82% from 135 in 2015 to 24 in 2019.
- 2015: 135
- 2016: 96
- 2017: 98
- 2018: 46
- 2019: 24
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30-day fills
30-day fills decreased 79% from 135 in 2015 to 28 in 2019.
- 2015: 135
- 2016: 96
- 2017: 98
- 2018: 48
- 2019: 28
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Part D drug cost
Part D drug cost varied from year to year: $1,307 in 2015 and $1,258 in 2019.
- 2015: $1,307
- 2016: $1,109
- 2017: $1,737
- 2018: $1,453
- 2019: $1,258
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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27 | 23 | $152.00 | $71.27 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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18 | 16 | $225.00 | $100.46 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Propafenone Hcl | Propafenone Hcl | 13 | 390 | $1,021.00 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 11 | 450 | $236.71 | — |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Secondary Practice Locations
1045 Sycamore Dr, 2nd Floor
Decatur, GA 300301645
Phone: 4045017081
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2665 N DECATUR RD STE 130, DECATUR, GA 30033 (Tel: 4045017081)
Registered at 2665 N DECATUR RD STE 130, DECATUR, GA 300336136 (Tel: 4045017081)
NPI status registered as active in NPPES database
Registered at 1045 SYCAMORE DR, 2ND FLOOR, DECATUR, GA 300301645 (Tel: 4045017081)
Registered at 1045 SYCAMORE DR, 2ND FLOOR, DECATUR, GA 300301645 (Tel: 4045017081)
Recorded as SIDNEY STAPLETON, M.D.
Surgery (license number reported to NPPES: GA 011485)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Decatur
- Dr. Michael Champney, MD
- Dr. John Kennedy, MD
- Dr. Nimesh Shah, MD
- Dr. Luis Quinones, MD
- Dr. Qammar Rashid, MD
- Dr. Donald Siegel, MD, FACS
Mailing Address
2665 N Decatur Rd Ste 130
Decatur, GA 300336136
Phone: 4045017081