OWEN STARK – Vascular & Interventional Radiology Physician, NPI 1073709531
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
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Provider Addresses for OWEN STARK
5333 MCAULEY DR
SUITE 6016
YPSILANTI, MI 481971014
Phone: (734) 712-8350
Fax: (734) 712-8251
Type: Mailing
239, Main Street, Prospect Homes, Kernville, Conemaugh, Johnstown, Cambria County, Pennsylvania, 15901, United States
SUITE 400
JOHNSTOWN, PA 159011640
Phone: (814) 539-5987
Fax: (814) 535-4176
Type: Mailing
Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States
JOHNSTOWN, PA 159054305
Phone: (814) 539-5987
Fax: (814) 535-4176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $2,736.
Total Amount is formed as General ($2,736) + Research ($0) + Ownership ($0) = $2,736.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Inari Medical, Inc. ($2,341).
Total Amount
$2,736
General + Research + Ownership
Payments
42
Total payment records
General Amount
$2,736
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $2,341 |
| Terumo Medical Corporation | $246 |
| Bard Peripheral Vascular, Inc. | $113 |
| Davol Inc. | $36 |
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: 2019-11-11
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 |
|---|---|---|---|---|
| I20191111000456 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 360 | 357 | $0 |
| 71045 | X-ray of chest, 1 view | 253 | 244 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 224 | 223 | $0 |
| 71250 | Ct scan of chest without contrast | 128 | 127 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 110 | 110 | $0 |
Insurance plans in this area (ZIP 48197)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | MI | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Interventional Radiology | TX | |
| Diagnostic Radiology | MI |
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