STANLEY GUTIONTOV (MD) – Radiation Oncology Physician, NPI 1063803963
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 RADIATION ONCOLOGY in IL
Provider Addresses for STANLEY GUTIONTOV (MD)
180 HARVESTER DR STE 110
BURR RIDGE, IL 605276686
Phone: (773) 702-1150
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371447
Phone: (773) 702-6870
Type: Location
945 N 12th St
Milwaukee, WI 532331305
Phone: (414) 219-7140
Type: Location
11516 N PORT WASHINGTON RD STE 107
MEQUON, WI 530923478
Phone: (262) 241-5040
Fax: (262) 241-5040
Type: Mailing
1222 N 23RD ST
SHEBOYGAN, WI 530813171
Phone: (920) 457-6800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210723002149 | I | Radiation Oncology | WI | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 843 | 62 | $0 |
| 77300 | Calculation of radiation therapy dose | 222 | 59 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 204 | 60 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 154 | 16 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 102 | 58 | $0 |
Insurance plans in this area (ZIP 60527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | WI | |
| Radiation Oncology | WI | |
| Radiation Oncology | WI | |
| - | WI | |
| Radiation Oncology | CA | |
| Radiation Oncology | CO | |
| Radiation Oncology | WI | |
| - | WI | |
| Radiation Oncology | WI | |
| Radiation Oncology | WI |
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