Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Justin Stafford , PA-C

Physician Assistant • Kettering, OH

Active NPI 1083168454 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3535 Southern Blvd
Kettering, OH 454291221

Call 9373956020 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373956020
Fax 9375227873
Organization at the Same NPPES Address or Phone
Kettering Physiatrists, Inc. Facility NPI 1902893035

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Kettering Network Radiologists Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2016

Medicare patients

174 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $9,027 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.

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, 2024.

Paid by Medicare

About $7,155 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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, 2024.

30-day fills

30 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

$263 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

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.

Open Payments general payments, program year 2021

All general payments: $28.45 across 2 records.

By nature of payment

  • Food and Beverage: $28.45 across 2 records.

Reporting-company totals

  • Medtronic, Inc.: $28.45 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional 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, CMS release of October 2, 2026.

NPI first issued

2016

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.

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, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Justin Stafford 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Justin Stafford 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Kettering and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Kettering, OH (2024, 69 clinicians with data). Median for this group: 114. Middle half: 36 to 208.

Close to the middle for clinicians listed under Physician Assistant in Ohio (2024, 2,807 clinicians with data). Median for this group: 170. Middle half: 67 to 401.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Kettering, OH (2024, 69 clinicians with data). Median for this group: $9,027. Middle half: $2,992 to $18,851.

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Ohio (2024, 2,807 clinicians with data). Median for this group: $13,112. Middle half: $5,381 to $26,234.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Kettering, OH (2024, 69 clinicians with data). Median for this group: $6,541. Middle half: $2,211 to $14,382.

Close to the middle for clinicians listed under Physician Assistant in Ohio (2024, 2,807 clinicians with data). Median for this group: $9,588. Middle half: $3,868 to $19,112.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Justin Stafford are from 2019.

120 active clinicians are listed under Physician Assistant with a practice address in Kettering, OH (5,494 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kettering

6.7% of these 120 clinicians have the CMS telehealth indicator.

59.2% of these 120 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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

Open Payments · Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $28.45.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
Abre General $14.28
Medtronic, Inc.
Food and Beverage
In-kind items and services
Concerto General $14.17

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 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, 2020–2024; 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
32555 Aspiration of fluid from chest cavity using imaging guidance
52 46 $309.00 $92.81
49083 Drainage of fluid from abdominal cavity using imaging guidance
32 25 $290.00 $88.67
74221 Double contrast x-ray of esophagus
12 12 $140.00 $28.37
77001 Fluoroscopic guidance for insertion or removal of central vein access device
12 12 $78.00 $15.48
77012 Review by radiologist of ct guidance for needle placement
12 12 $200.00 $59.23
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
12 11 $50.00 $10.50

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 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 18 123 $160.60 17
Levothyroxine Sodium Levothyroxine Sodium 12 157 $102.50 —

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

Self-certified to NPPES: 2020-11-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.004770RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0181657 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20160928002547

Enrollment State Jurisdiction

OH

PECOS Control ID

2567759947

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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, CMS release of October 2, 2026

Kettering Network Radiologists Inc

100 Medical Ctr Dr, Springfield, OH 455042687

Phone: 9375231000

Kettering Network Radiologists Inc

1977 Miamisburg Centerville Rd, Dayton, OH 454593811

Phone: 9374396000

Kettering Network Radiologists Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958627

Kettering Network Radiologists Inc

4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615

Phone: 9372967227

Kettering Network Radiologists Inc

450 B Washington Jackson Rd, Eaton, OH 453208699

Phone: 9374568376

Kettering Network Radiologists Inc

600 W Main St, Troy, OH 453732928

Phone: 9379807000

Kettering Network Radiologists Inc

630 Eaton Ave, Hamilton, OH 450132767

Phone: 5138672000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Melissa Moncrief , MD

Surgery - Surgical Critical Care

NPI 1821211251

Doctor of Medicine (M.D.)

Dr. Ragavan Narayanan , MD

Surgery - Surgical Critical Care

NPI 1205147030

Doctor of Medicine (M.D.)

Jason Roller , PA-C

Physician Assistant - Surgical

NPI 1689798662

Physician Assistant (Certified)

NPI 1114247251

Doctor of Medicine (M.D.)

William Springer , PA-C

Physician Assistant

NPI 1629330808

Physician Assistant (Certified)

Career & Practice History

NPI enumerated August 15, 2016.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1083168454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2016
Last Update: November 19, 2020
Sole Proprietor: No

Other Physician Assistants in Kettering

All Physician Assistants in Kettering

More public profiles in Ohio

Directory navigation, in NPI number order.

Mailing Address

3533 Southern Blvd, Suite 2100

Kettering, OH 454291264

Phone: 9373958556

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.