DAVID R. STASKIN (MD) – Urology Physician, NPI 1629165717
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
365 UROLOGY in MA
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Provider Addresses for DAVID R. STASKIN (MD)
11, Nevins Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
STE. 303
BRIGHTON, MA 021353514
Phone: (617) 787-8181
Fax: (617) 787-4644
Type: Location
11 NEVINS ST STE 303
BRIGHTON, MA 021353514
Phone: (617) 787-8181
Fax: (617) 787-4644
Type: Location
960 MASSACHUSETTS AVENUE
FL 2
BOSTON, MA 021182690
Phone:
Type: Mailing
62, Brown Street, Riverside, Haverhill, Essex County, Massachusetts, 01834, United States
5TH FLOOR, STEWARD MEDICAL GROUP PROVIDER ENROLLMENT
HAVERHILL, MA 018306778
Phone: (978) 722-7822
Fax: (978) 722-7957
Type: Mailing
11 NEVINS STREET
SUITE 303
BRIGHTON, MA 021353514
Phone: (617) 787-8181
Fax: (617) 787-4644
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 176 Open Payments records for all available years, with a total value of $142,496.
Total Amount is formed as General ($142,496) + Research ($0) + Ownership ($0) = $142,496.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($132,355).
Total Amount
$142,496
General + Research + Ownership
Payments
176
Total payment records
General Amount
$142,496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $132,355 |
| E.R. Squibb & Sons, L.L.C. | $6,850 |
| Medtronic, Inc. | $1,699 |
| Axonics, Inc. | $697 |
| ABBVIE INC. | $640 |
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: 2005-03-25
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 |
|---|---|---|---|---|
| I20050325000147 | I | Urology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Diagnostic Radiology | MA | |
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA | |
| Internal Medicine, Infectious Disease | MA | |
| Physician Assistant | MA | |
| Hospitalist, Internal Medicine | MA | |
| Pulmonary Disease, Infectious Disease | MA | |
| Pulmonary Disease, Critical Care (Intensivists) | MA | |
| Physician Assistant | MA |
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