JEREMY STAYTON (MD) – Surgery Physician, NPI 1093146763
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for JEREMY STAYTON (MD)
PO BOX 549
IRON MOUNTAIN, MI 498010549
Phone:
Type: Mailing
1711 S STEPHENSON AVE STE 305
IRON MOUNTAIN, MI 498013650
Phone: (906) 776-5200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: MIMEDX Group, Inc. ($56).
Total Amount
$56
General + Research + Ownership
Payments
2
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, 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: 2020-11-30
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 |
|---|---|---|---|---|
| I20201130002209 | I | General Surgery | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 50 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 32 | 31 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | 29 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 16 | 16 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 49801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MO | |
| Sleep Medicine | MO | |
| Diagnostic Radiology | CA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Pain Management, Interventional Pain Management, Orthopedic Surgery, Osteopathic Manipulative Medicine, Orthopedic Surgery, Osteopathic Manipulative Medicine | KS | |
| Diagnostic Radiology | WI | |
| Certified Registered Nurse Anesthetist (Crna) | MO |
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