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Dr. Todd S Stafford , MD

Surgery • Providence, RI

Active NPI 1013178029 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

195 Collyer St Ste 302
Providence, RI 029041869

Call 4012280633 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

195 Collyer St Ste 302

Providence, RI 029041869

Telephone 4012280633
Fax 4017935171
Organization at the Same NPPES Address or Phone
University Surgical Associates, Inc. Facility NPI 1376589895

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 2 distinct group names: Lifespan Physician Group Inc; University Surgical Associates, Inc.. 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

Medical School

Temple University School Of Medicine

Graduation Year

2008

Medicare patients

137 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 $25,294 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 $19,801 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

13 standardized 30-day fills in 2023

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

$32 in 2023

The total cost of these prescriptions in 2023, 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, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.92 in 2025

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.

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 2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 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.

NPI first issued

2008

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; 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. 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 Dr. 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 Providence and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Surgery in Providence, RI (2024, 32 clinicians with data). Median for this group: 205. Middle half: 122 to 307.

Fewer Medicare Part B services than 60% of clinicians listed under Surgery in Rhode Island (2024, 63 clinicians with data). Median for this group: 152. Middle half: 67 to 267.

Medicare-allowed amount

Close to the middle for clinicians listed under Surgery in Providence, RI (2024, 32 clinicians with data). Median for this group: $25,476. Middle half: $11,946 to $46,755.

A higher Medicare-allowed amount than 60% of clinicians listed under Surgery in Rhode Island (2024, 63 clinicians with data). Median for this group: $19,425. Middle half: $6,615 to $33,521.

Paid by Medicare

Close to the middle for clinicians listed under Surgery in Providence, RI (2024, 32 clinicians with data). Median for this group: $19,921. Middle half: $9,320 to $35,191.

A higher Medicare payment amount than 60% of clinicians listed under Surgery in Rhode Island (2024, 63 clinicians with data). Median for this group: $14,630. Middle half: $5,041 to $26,342.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Stafford are from 2023.

91 active clinicians are listed under Surgery with a practice address in Providence, RI (151 in Rhode Island).

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

Telehealth indicator in Providence

4.4% of these 91 clinicians have the CMS telehealth indicator.

45.1% of these 91 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, 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 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $14.92.

Manufacturer Payment Nature Product Type Amount ($)
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Belbuca General $14.92

Source: CMS Open Payments, program year 2025, 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 2016–2023 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, 2017–2024; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
29 26 $277.41 $91.53
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
29 17 $157.24 $48.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $350.60 $108.22
22558 Fusion of lower spine bone through abdomen with partial removal of disc
14 14 $4988.00 $946.29
49650 Repair of groin hernia using an endoscope
12 12 $1564.33 $484.23

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 2023.

CMS Part D · Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 13 51 $32.22 12

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-29
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES RI MD14236

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.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES RI LP01494

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.

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: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20130806000071

Enrollment State Jurisdiction

RI

PECOS Control ID

3678715570

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

University Surgical Associates, Inc.

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Lifespan Physician Group Inc

195 Collyer St, Providence, RI 029041869

Phone: 4012721800

Clinicians Sharing This Practice Address or Phone

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

11 listed
Dr. Thomas Carruthers , MD

Surgery - Vascular Surgery

NPI 1720206568

Doctor of Medicine (M.D.)

Kristen Chapian , CNP

Nurse Practitioner

NPI 1003463316

Certified Nurse Practitioner

Sunhe Fusco

Nurse Practitioner - Adult Health

NPI 1487902276
Emily Henault , PA-C

Physician Assistant - Surgical

NPI 1598077588

Physician Assistant (Certified)

NPI 1902243231

Doctor of Medicine (M.D.)

Dr. Junaid Malek , MD

Surgery - Vascular Surgery

NPI 1487769162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Updated Practice Location January 29, 2020

Registered at 195 COLLYER ST STE 302, PROVIDENCE, RI 029041869 (Tel: 4012280633)

✅
NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 29, 2013

Registered at 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 029053236 (Tel: 4012721800)

📍
Business Mailing Address (Initial Record) May 29, 2013

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤
Provider Name / Credentials (Initial Record) May 29, 2013

Recorded as TODD STAFFORD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

Surgery (license number reported to NPPES: RI MD14236)

🟢
Initial NPI Registration & Enumeration June 23, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013178029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2008
Last Update: January 29, 2020
Sole Proprietor: No

Other Surgery Specialists in Providence

All Surgery Specialists in Providence

More public profiles in Rhode Island

Directory navigation, in NPI number order.

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

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.