DR. ENRICO JOSEPH STAZZONE (M.D.) – Pediatric Orthopaedic Surgery Physician, NPI 1255306015
Pediatric Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ENRICO JOSEPH STAZZONE (M.D.)
2001 W 86th St
Indianapolis, IN 462601902
Phone: (317) 338-8857
Type: Location
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 462602006
Phone: (317) 338-7674
Type: Location
300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States
INDIANAPOLIS, IN 462901024
Phone:
Type: Mailing
Saint Vincent Indianapolis, 2001, West 86th Street, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462601902
Phone: (317) 338-8857
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $123.
Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Medtronic, Inc. ($67).
Total Amount
$123
General + Research + Ownership
Payments
4
Total payment records
General Amount
$123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $67 |
| DePuy Synthes Sales Inc. | $56 |
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: 2018-05-29
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 |
|---|---|---|---|---|
| I20180529002406 | I | Orthopedic Surgery | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | KY | |
| Pediatric Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Nurse Practitioner | IN | |
| - | IN | |
| Otolaryngology, Pediatric Medicine | IN |
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