Dr. David Stanforth, MD
1 Medical Village DR, Edgewood, KY 41017 • +1-778-555-4668
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Edgewood Percentiles
NPI #1366443673 • CBSA Regional • Emergency Medicine
Dr. David Stanforth, MD (NPI #1366443673) practices Emergency Medicine in Edgewood, KY (41017) with sub-specialty concentration in 26 Active CMS HCPCS Codes, recording 879 annual CMS services across 548 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (80th Edgewood percentile) (-0.27σ vs KY state mean, 45.8th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Stanforth (averaging 1.6 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (396 encounters), paired with 99213 (229x).
Self-pay new patient consultations with Dr. Stanforth (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.73/5 modern protocol openness score across 7 patient logs.
Clinical background for Dr. Stanforth (MD, NPI #1366443673) includes accredited doctoral training (1999, 27 yrs in practice) and virtual + in-office availability across KY.
Compared against Edgewood, KY Emergency Medicine peers
879 annual services across 548 beneficiaries
Standard deviations from KY Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 396 | 80th | $168 – $230 |
| 99213 | Established Preventive & Chronic Care Visit | 229 | 85th | $129 – $176 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 114 | 78th | $61 – $84 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 88 | 75th | $197 – $270 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 53 | 76th | $234 – $321 |
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Dr. David Stanforth, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Stanforth National Provider Identifier | NPI #1366443673 (MD) | CMS NPPES Registry (41017) |
| Dr. Stanforth Edgewood CMS Volume Rank | 80.00th Pct (879 CMS svcs; Z -0.268σ) | CMS Medicare Part B (KY Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edgewood, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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