Physician

Mark E Staniforth, MD

According to 2025 Medicare claims, Mark Staniforth, MD (NPI: 1619978707) practices nephrology in the Muskegon-Norton Shores, MI market, with the plurality of this provider's patient population coming from Muskegon, MI. This provider's primary affiliated billing organization is WEST MICHIGAN NEPHROLOGY PLLC (NPI: 1235143090; TIN: 382690980) and primary practice location at 49444-1881. Staniforth is affiliated with the Trinity Health Integrated Care (ACO ID: A3454) and West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Staniforth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 404 traditional Medicare patients, billed 864 HCPCS/CPT codes, and received $91,009 in Medicare payments. The top billing code was 90960 (Dialysis services, 4 or more physician visits per month (20 years or older)). Part D data shows 1,239 prescription claims across 338 beneficiaries totaling $215,523 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 67 claims. Open Payments data shows 1 records totaling $27. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $191,859 to $91,009. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $482,949 to $215,523. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $1,567 to $0.