JOHN DAVID STAGEBERG (M.D.) – Radiation Oncology Physician, NPI 1861457640

JOHN DAVID STAGEBERG (M.D.) is a healthcare provider. based in Pueblo, Colorado. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 41213 (CO). The NPI Number for JOHN DAVID STAGEBERG (M.D.) is 1861457640

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DAVID STAGEBERG (M.D.)
NPI
1861457640
Phone
(719) 557-5460
Address
1008 MINNEQUA AVE
Enumeration Date
17 April 2006
Last Update Date
20 July 2013

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
7197768040
Graduation Year
1995 (31 years ago)
PAC ID
1052480399
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20101027001536
Address ID
CO810043733PU1008XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

130 RADIATION ONCOLOGY in CO

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Provider Addresses for JOHN DAVID STAGEBERG (M.D.)

  • Saint Mary-Corwin Medical Center, 1008, Minnequa Avenue, Pueblo, Pueblo County, Colorado, 81004, United States

    PUEBLO, CO 810043733

    Phone: (719) 557-5460

    Fax: (719) 560-7217

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Boston Scientific Corporation ($49).

Total Amount

$105

General + Research + Ownership

Payments

5

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2010-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101027001536IRadiation OncologyCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields59675$0
77300Calculation of radiation therapy dose20850$0
77427Radiation treatment management, 5 treatment sessions17759$0
77334Design and construction of complex radiation treatment device15640$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy11733$0
View full utilization report →

Insurance plans in this area (ZIP 81004)

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Provider's Procedures

JOHN DAVID STAGEBERG (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYCO77263Management of radiation therapy, complex6968
RADIATION ONCOLOGYCO77300Calculation of radiation therapy dose13240

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

What federal number belongs to JOHN DAVID STAGEBERG (M.D.)?
The federal identifier for JOHN DAVID STAGEBERG (M.D.) is NPI 1861457640.
Is JOHN DAVID STAGEBERG (M.D.)'s NPI currently valid?
The extract we use shows JOHN DAVID STAGEBERG (M.D.) as active.
What does JOHN DAVID STAGEBERG (M.D.) treat or focus on?
Patients typically see JOHN DAVID STAGEBERG (M.D.) under the specialty Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN DAVID STAGEBERG (M.D.)'s primary listing?
We display Pueblo, Colorado because that is what the record indicates for JOHN DAVID STAGEBERG (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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