DR. NICK STAVRIDIS (DO) – Emergency Medicine Physician, NPI 1114908696
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,179 EMERGENCY MEDICINE in AZ
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Provider Addresses for DR. NICK STAVRIDIS (DO)
5000, Hopyard Road, Pleasanton, Alameda County, California, 94588, United States
SUITE 100
PLEASANTON, CA 945883348
Phone: (800) 617-7717
Type: Mailing
Banner Baywood Medical Center, 6644, East Baywood Avenue, Fountain East, Mesa, Maricopa County, Arizona, 85206, United States
MESA, AZ 85206
Phone: (480) 981-4200
Type: Location
9700 N Saguaro Blvd
Fountain Hills, AZ 852686241
Phone: (602) 671-7990
Fax: (602) 755-0457
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Abbott Laboratories ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $23 |
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: 2019-12-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040427000617 | I | Emergency Medicine | AZ | TBD |
| I20191224000375 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 187 | 180 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 105 | 104 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 49 | 46 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 43 | 42 | $0 |
| 96375 | Injection of additional new drug or substance into vein | 23 | 11 | $0 |
Insurance plans in this area (ZIP 94588)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Pediatric Medicine | AZ | |
| Internal Medicine | AZ | |
| Emergency Medicine | AZ | |
| Internal Medicine | AZ | |
| Emergency Medicine, Pediatric Medicine | AZ | |
| Emergency Medicine | ONTARIO | |
| Internal Medicine | AR |
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