PERI R STANGAS (PA-C) – Family Medicine Physician, NPI 1043788284

PERI R STANGAS (PA-C) is a healthcare provider. based in South bend, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10002615A (IN). The NPI Number for PERI R STANGAS (PA-C) is 1043788284

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
PERI R STANGAS (PA-C)
NPI
1043788284
Phone
(574) 234-4016
Address
6301 UNIVERSITY COMMONS STE 210
Enumeration Date
6 November 2018
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Secondary Phone
5742344016203
Graduation Year
2018 (8 years ago)
PAC ID
6103160734
Group Practice PAC ID
5395659882
Professional Enrollment ID
I20181207001184
Address ID
IN466351590SO6301XCOMM301

Contacts

Secure Messaging
peri.stangas@fmsb.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for PERI R STANGAS (PA-C)

  • 6301 UNIVERSITY COMMONS STE 210

    SOUTH BEND, IN 466351590

    Phone: (574) 234-4016

    Fax: (574) 239-4607

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $885.

Total Amount is formed as General ($885) + Research ($0) + Ownership ($0) = $885.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: PFIZER INC. ($139).

Total Amount

$885

General + Research + Ownership

Payments

39

Total payment records

General Amount

$885

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2018-12-07

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
I20181207001184IPhysician AssistantINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes434302$0
G0444Annual depression screening, 5 to 15 minutes147147$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit143143$0
99214Established patient office or other outpatient visit, 30-39 minutes9063$0
G0008Administration of influenza virus vaccine6060$0
View full utilization report →

Insurance plans in this area (ZIP 46635)

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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: 5395659882View full group profile
NameSpecialtyState
Family PracticeIN
-IN
Family PracticeIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Family PracticeIN
Family PracticeIN
Family PracticeIN

Reviews

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Frequently asked questions

What NPI should I save for PERI R STANGAS (PA-C)?
Save NPI 1043788284 if you need a stable reference for PERI R STANGAS (PA-C).
Is PERI R STANGAS (PA-C) active in the national directory?
PERI R STANGAS (PA-C)'s public NPI profile is in an active state.
Can you summarize PERI R STANGAS (PA-C)'s specialty in plain language?
Clinically, the directory lists PERI R STANGAS (PA-C) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PERI R STANGAS (PA-C)'s primary listing?
We display South Bend, Indiana because that is what the record indicates for PERI R STANGAS (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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