DR. JOHN STATHIS (MD) – Cardiovascular Disease Physician, NPI 1902803174

DR. JOHN STATHIS (MD) is a healthcare provider. based in Longmont, Colorado. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 39861 (CO). The NPI Number for DR. JOHN STATHIS (MD) is 1902803174

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN STATHIS (MD)
NPI
1902803174
Phone
(303) 776-1234
Address
1925 W MOUNTAIN VIEW AVE
Enumeration Date
3 July 2005
Last Update Date
8 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037761234
Graduation Year
1981 (45 years ago)
PAC ID
1456485614
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20100810001028
Address ID
CO805013128LO1925XAVEX400
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

498 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CO

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Provider Addresses for DR. JOHN STATHIS (MD)

  • Mountain View Avenue, Longmont, Boulder County, Colorado, 80501-2038, United States

    LONGMONT, CO 805013128

    Phone: (303) 776-1234

    Fax: (720) 494-3107

    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 8 Open Payments records for all available years, with a total value of $508.

Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Shockwave Medical, Inc ($410).

Total Amount

$508

General + Research + Ownership

Payments

8

Total payment records

General Amount

$508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-10

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
I20100810001028ICardiovascular Disease (Cardiology)COTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13371$0
93798Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services12346$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function109108$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7271$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes6760$0
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Insurance plans in this area (ZIP 80501)

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Provider's Procedures

DR. JOHN STATHIS (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CO78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies236235
CARDIOVASCULAR DISEASE (CARDIOLOGY)CO92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin3126
CARDIOVASCULAR DISEASE (CARDIOLOGY)CO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report417238

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: 9638208549View full group profile

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Frequently asked questions

What identifier follows DR. JOHN STATHIS (MD) across health systems?
The NPI 1902803174 uniquely identifies DR. JOHN STATHIS (MD) in U.S. healthcare data.
Does the public listing show DR. JOHN STATHIS (MD) as active?
DR. JOHN STATHIS (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JOHN STATHIS (MD) does?
Insurance directories may phrase it differently, but here DR. JOHN STATHIS (MD) maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN STATHIS (MD)?
DR. JOHN STATHIS (MD) is associated with Longmont, Colorado in the same public data insurers reference.
Why is information missing for DR. JOHN STATHIS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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