Dr. David M Stanforth , MD
Emergency Medicine โข Edgewood, KY
1 Medical Village Dr
Edgewood, KY 410173403
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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Dr. David Stanforth is listed in NPPES under Emergency Medicine.
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NPI assigned on August 9, 2005; this date does not establish years in practice.
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Published CMS data list 830 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99285 โ Emergency department visit with high level of medical decision making: 354 service units.
- 93010 โ Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only: 281 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 125 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 74 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone โ 23 prescription fills, including refills.
- Cephalexin โ 21 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Edgewood, KY (2024, 37 clinicians with data). Median for this group: 422. Middle half: 337 to 551.
More Medicare Part B services than 85% of clinicians listed under Emergency Medicine in Kentucky (2024, 593 clinicians with data). Median for this group: 356. Middle half: 204 to 558.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 460 in 2020 to 830 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1 Medical Village Dr
Edgewood, KY 410173403
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 5 distinct additional practice-address records in Covington, KY; Florence, KY; Fort Thomas, KY and 2 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Baptist Health Medical Group Inc; Compass Emergency Physicians Psc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Cincinnati College Of Medicine
1994
What Public CMS Data Show
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
548 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $90,541 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $69,583 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
74 standardized 30-day fills in 2024
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
$273 in 2024
The total cost of these prescriptions in 2024, 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $197.24 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
32 years (graduated 1994)
CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Dr. Stanforth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Stanforth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Edgewood and Kentucky
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Edgewood, KY (2024, 37 clinicians with data). Median for this group: 422. Middle half: 337 to 551.
More Medicare Part B services than 85% of clinicians listed under Emergency Medicine in Kentucky (2024, 593 clinicians with data). Median for this group: 356. Middle half: 204 to 558.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Emergency Medicine in Edgewood, KY (2024, 37 clinicians with data). Median for this group: $48,120. Middle half: $36,792 to $60,247.
A higher Medicare-allowed amount than 85% of clinicians listed under Emergency Medicine in Kentucky (2024, 593 clinicians with data). Median for this group: $43,450. Middle half: $26,586 to $65,521.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Emergency Medicine in Edgewood, KY (2024, 37 clinicians with data). Median for this group: $37,184. Middle half: $28,363 to $47,118.
A higher Medicare payment amount than 85% of clinicians listed under Emergency Medicine in Kentucky (2024, 593 clinicians with data). Median for this group: $33,274. Middle half: $19,778 to $50,293.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Emergency Medicine in Edgewood, KY (2024, 36 clinicians with data). Median for this group: 74. Middle half: 50 to 173.
Fewer Part D prescriptions than 65% of clinicians listed under Emergency Medicine in Kentucky (2024, 537 clinicians with data). Median for this group: 119. Middle half: 58 to 203.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Emergency Medicine in Edgewood, KY (2024, 36 clinicians with data). Median for this group: $336. Middle half: $227 to $768.
A lower Part D drug cost than 75% of clinicians listed under Emergency Medicine in Kentucky (2024, 537 clinicians with data). Median for this group: $714. Middle half: $319 to $1,366.
52 active clinicians are listed under Emergency Medicine with a practice address in Edgewood, KY (903 in Kentucky).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Edgewood
0% of these 52 clinicians have the CMS telehealth indicator.
65.4% of these 52 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 increased 80% from 460 in 2020 to 830 in 2024.
- 2020: 460
- 2021: 406
- 2022: 427
- 2023: 530
- 2024: 830
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Medicare-allowed amount
Medicare-allowed amount increased 26% from $72,004 in 2020 to $90,541 in 2024.
- 2020: $72,004
- 2021: $64,539
- 2022: $57,147
- 2023: $55,073
- 2024: $90,541
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Paid by Medicare
Paid by Medicare increased 22% from $56,927 in 2020 to $69,583 in 2024.
- 2020: $56,927
- 2021: $50,716
- 2022: $45,327
- 2023: $42,091
- 2024: $69,583
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 81 in 2020 and 74 in 2024.
- 2020: 81
- 2021: 108
- 2022: 131
- 2023: 107
- 2024: 74
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30-day fills
30-day fills varied from year to year: 81 in 2020 and 74 in 2024.
- 2020: 81
- 2021: 108
- 2022: 131
- 2023: 107
- 2024: 74
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Part D drug cost
Part D drug cost went from $483 in 2020 to $273 in 2024.
- 2020: $483
- 2021: $647
- 2022: $893
- 2023: $537
- 2024: $273
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2023 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $197.24.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Inari Medical, Inc. |
Food and Beverage
In-kind items and services
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CT THROMBECTOMY SYSTEM KIT | General | $197.24 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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99285
Emergency department visit with high level of medical decision making
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354 | 346 | $843.00 | $168.71 |
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93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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281 | 266 | $39.00 | $7.72 |
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99284
Emergency department visit with moderate level of medical decision making
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125 | 118 | $582.00 | $116.50 |
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99291
Critical care, first 30-74 minutes
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70 | 70 | $1016.00 | $201.22 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 23 | 117 | $31.95 | 23 |
| Cephalexin | Cephalexin | 21 | 133 | $127.88 | 21 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | 39 | $33.55 | 16 |
| Doxycycline Hyclate | Doxycycline Hyclate | 14 | 101 | $79.86 | 14 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-04-03NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - EMERGENCY MEDICINE
I20200804003467
IN
9537110077
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Baptist Health Medical Group Inc
3516 E 10th St, Jeffersonville, IN 471309315
Phone: 8129818970
Compass Emergency Physicians Psc
600 Wilson Creek Rd, Lawrenceburg, IN 470252751
Phone: 8595723617
Compass Emergency Physicians Psc
1 Medical Village Dr, Edgewood, KY 410173403
Phone: 8593012250
Baptist Health Medical Group Inc
7702 Bardstown Rd, Louisville, KY 402913207
Phone: 5029284700
Secondary Practice Locations
238 Barnes Rd
Williamstown, KY 410979482
Phone: 8598248240
85 N Grand Ave
Fort Thomas, KY 410754027
Phone: 8595723618
1500 James Simpson Jr Way
Covington, KY 410110801
Phone: 8596554353
600 Wilson Creek Rd
Lawrenceburg, IN 470252751
Phone: 8125322700
4900 Houston Rd
Florence, KY 410424824
Phone: 8592125441
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
Advanced Registered Nurse Practitioner
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 638685, CINCINNATI, OH 452638685 (Tel: 8778825644)
NPI status registered as active in NPPES database
Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8595723617)
Registered at PO BOX 18667, ERLANGER, KY 410180667 (Tel: 8595723617)
Recorded as DAVID STANFORTH, MD
Emergency Medicine (license number reported to NPPES: KY 32254)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Emergency Medicine Providers in Edgewood
- Dr. Janell Epley, MD
- Dr. Julie Villari, MD
- Dr. David Bracken, MD
- Dr. Stephen Cooper, MD
- Dr. Samar Sharma, MD
- Dr. Michelle Pandit, MD
Mailing Address
Po Box 638685
Cincinnati, OH 452638685
Phone: 8778825644