DR. JOHN CHRISTOPHER STACKOW (MD) – Hospitalist Physician, NPI 1922095397

DR. JOHN CHRISTOPHER STACKOW (MD) is a healthcare provider. based in St maries, Idaho. specializing in GENERAL SURGERY, HOSPITALIST. They hold the professional credentials MD. They hold a License No. M-6239 (ID). The NPI Number for DR. JOHN CHRISTOPHER STACKOW (MD) is 1922095397

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN CHRISTOPHER STACKOW (MD)
NPI
1922095397
Phone
(208) 245-2591
Address
229 S 8TH ST
Enumeration Date
30 September 2005
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2082622300
Graduation Year
1988 (38 years ago)
PAC ID
8325115348
Group Practice PAC ID
0840101218
Professional Enrollment ID
I20080918000468
Address ID
ID838545326PO1593XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

191 GENERAL SURGERY in ID

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Provider Addresses for DR. JOHN CHRISTOPHER STACKOW (MD)

  • South 8th Street, Saint Maries, Benewah County, Idaho, 83861, United States

    ST MARIES, ID 838611813

    Phone: (208) 245-2591

    Fax: (208) 245-5246

    Type: Mailing

  • 1593 E Polston Ave

    Post Falls, ID 838545326

    Phone: (208) 262-2300

    Fax: (208) 262-2390

    Type: Location

  • 1593 E POLSTON AVE

    POST FALLS, ID 838545326

    Phone: (208) 262-2300

    Fax: (208) 262-2390

    Type: Mailing

  • 1551 E MULLAN AVE STE 102

    POST FALLS, ID 838549005

    Phone: (208) 262-2328

    Fax: (208) 619-5057

    Type: Location

  • 750 N SYRINGA ST STE 190

    POST FALLS, ID 838545275

    Phone: (208) 262-2328

    Fax: (208) 619-5057

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($24).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

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: 2008-09-18

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
I20080918000468IGeneral SurgeryIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes139130$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12171$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes104104$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5858$0
99238Hospital discharge day management, 30 minutes or less5251$0
View full utilization report →

Insurance plans in this area (ZIP 83861)

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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: 0840101218View full group profile
NameSpecialtyState
Nurse PractitionerID
Registered Dietitian Or Nutrition ProfessionalID
Physician AssistantID
-ID
Family PracticeID
Nurse PractitionerID
-ID
-ID
-WA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineID

Reviews

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Frequently asked questions

What is the standard ID for DR. JOHN CHRISTOPHER STACKOW (MD) in the U.S.?
In the U.S., DR. JOHN CHRISTOPHER STACKOW (MD) is identified by NPI 1922095397.
Quick check: is DR. JOHN CHRISTOPHER STACKOW (MD) active?
Public NPPES data shows DR. JOHN CHRISTOPHER STACKOW (MD) with an active NPI status right now.
What services align with DR. JOHN CHRISTOPHER STACKOW (MD)'s listing?
DR. JOHN CHRISTOPHER STACKOW (MD)'s public classification highlights Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN CHRISTOPHER STACKOW (MD)?
DR. JOHN CHRISTOPHER STACKOW (MD) is associated with St Maries, Idaho in the same public data insurers reference.
Can I export DR. JOHN CHRISTOPHER STACKOW (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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