MARK A. STAUDACHER (M.D.) – Anesthesiology Physician, NPI 1710988126
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,631 ANESTHESIOLOGY in IL
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Provider Addresses for MARK A. STAUDACHER (M.D.)
520, East 22nd Street, Highland Hills, Lombard, DuPage County, Illinois, 60148, United States
LOMBARD, IL 601486110
Phone: (630) 874-2542
Fax: (630) 874-2642
Type: Mailing
Presence Mercy Medical Center, 1325, North Highland Avenue, Aurora, Kane County, Illinois, 60506, United States
AURORA, IL 605061449
Phone: (630) 859-2222
Fax: (630) 801-2571
Type: Location
1325 N Highland Ave
Aurora, IL 605061449
Phone: (630) 859-2222
Fax: (630) 801-2571
Type: Location
300 RANDALL RD
GENEVA, IL 601344200
Phone: (630) 208-4060
Fax: (630) 208-4401
Type: Mailing
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: 2005-10-14
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 |
|---|---|---|---|---|
| I20051014000209 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 34 | 34 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 20 | 20 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 17 | 17 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | IL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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