MS. STACI J LADOWITZ (PA) – Medical Physician Assistant, NPI 1639711963
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MS. STACI J LADOWITZ (PA)
302 GRIFFIN GATE
O FALLON, IL 622693443
Phone: (618) 553-6222
Type: Mailing
4000, North Illinois Lane, Swansea, Saint Clair County, Illinois, 62226, United States
SWANSEA, IL 622261969
Phone: (618) 236-1000
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (618) 607-1340
Fax: (618) 433-6492
Type: Mailing
1418 CROSS ST
STE 160
SHILOH, IL 622692988
Phone: (618) 607-1320
Fax: (618) 433-6492
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($160).
Total Amount
$179
General + Research + Ownership
Payments
24
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TACTILE SYSTEMS TECHNOLOGY INC | $160 |
| Tactile Systems Technology Inc | $18 |
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: 2019-11-16
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 |
|---|---|---|---|---|
| I20191116000413 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 304 | 254 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 55 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 62269)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Medical Oncology, Internal Medicine | IL | |
| Radiation Oncology | IL | |
| Radiation Oncology | IL | |
| Radiation Oncology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | IL | |
| Physician Assistant | IL | |
| Radiation Oncology | IL |
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