STEPHEN JR. KOLAKOWSKI (MD) – Vascular Surgery Physician, NPI 1003971102
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
264 VASCULAR SURGERY in NJ
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Provider Addresses for STEPHEN JR. KOLAKOWSKI (MD)
19111 TOWN CENTER DR
APPLE VALLEY, CA 923088989
Phone: (760) 242-7777
Type: Mailing
West Long Branch, Monmouth County, New Jersey, 07764, United States
WEST LONG BRANCH, NJ 077641177
Phone: (732) 263-7978
Type: Mailing
13010 HESPERIA RD STE 400
VICTORVILLE, CA 923958315
Phone: (760) 242-9355
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Boston Scientific Corporation ($68).
Total Amount
$161
General + Research + Ownership
Payments
9
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $68 |
| Smith+Nephew, Inc. | $38 |
| Bard Peripheral Vascular, Inc. | $30 |
| LeMaitre Vascular, Inc. | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170511001340 | I | Vascular Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 15 | 15 | $0 |
Insurance plans in this area (ZIP 92308)
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