DR. IGOR STAVITSKY (M.D.) – Emergency Medicine Physician, NPI 1023094471
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,245 PEDIATRIC MEDICINE in MA
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Provider Addresses for DR. IGOR STAVITSKY (M.D.)
Merrimack Health Lawrence Hospital, 1, General Street, Jackson Terrace Historic District, Lawrence, Essex County, Massachusetts, 01842, United States
ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT..
LAWRENCE, MA 018412961
Phone: (978) 683-4000
Fax: (978) 946-8017
Mailing address matches the actual address.
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: 2016-10-18
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 |
|---|---|---|---|---|
| I20161018001222 | I | Pediatric Medicine | MA | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 92 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 25 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 82 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 11 | $0 |
Insurance plans in this area (ZIP 01841)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Nurse Practitioner | MA | |
| General Practice, Family Practice | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA |
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