DR. DUSTIN ALLEN COPELAND STALOCH (M.D) – Clinical Cardiac Electrophysiology Physician, NPI 1184011645
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
105 CARDIAC ELECTROPHYSIOLOGY in GA
Provider Addresses for DR. DUSTIN ALLEN COPELAND STALOCH (M.D)
1364 CLIFTON RD NE
ATLANTA, GA 303072102
Phone: (404) 712-2000
Type: Location
1364 Clifton Rd NE
Atlanta, GA 303072102
Phone: (404) 712-2000
Type: Location
301 UNIVERSITY BLVD
GALVESTON, TX 775552102
Phone: (409) 772-1011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 218 Open Payments records for all available years, with a total value of $28,077.
Total Amount is formed as General ($28,077) + Research ($0) + Ownership ($0) = $28,077.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($6,552).
Total Amount
$28,077
General + Research + Ownership
Payments
218
Total payment records
General Amount
$28,077
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $6,552 |
| Philips North America LLC | $5,668 |
| Abbott Laboratories | $5,664 |
| BIOTRONIK INC. | $3,838 |
| Boston Scientific Corporation | $2,770 |
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: 2024-09-01
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 |
|---|---|---|---|---|
| I20220504000128 | I | Cardiovascular Disease (Cardiology) | GA | TBD |
| I20240901000106 | I | Cardiac Electrophysiology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | NY | |
| Sleep Medicine, Critical Care (Intensivists) | TX | |
| Surgical Oncology | NY | |
| General Surgery | TN | |
| General Surgery | GA | |
| U R O L O G Y | NY | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
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