PATRICK STASO (MD) – Allergy & Immunology Physician, NPI 1750762050

PATRICK STASO (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 4351038008 (MI). The NPI Number for PATRICK STASO (MD) is 1750762050

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK STASO (MD)
NPI
1750762050
Phone
(269) 337-6115
Address
1000 Oakland Dr
Enumeration Date
11 June 2015
Last Update Date
13 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604541900
Graduation Year
2015 (11 years ago)
PAC ID
2163737396
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20210716000201
Address ID
WA982714743MA2901XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

177 ALLERGY/IMMUNOLOGY in MI

Provider Addresses for PATRICK STASO (MD)

  • 1000 Oakland Dr

    Kalamazoo, MI 490081282

    Phone: (269) 337-6115

    Type: Location

  • 1000 OAKLAND DR

    KALAMAZOO, MI 490081282

    Phone: (269) 337-4400

    Type: Mailing

  • PO BOX 5127

    EVERETT, WA 982065127

    Phone: (360) 454-1912

    Fax: (360) 454-1985

    Type: Mailing

  • 2901 174TH ST NE

    MARYSVILLE, WA 982714743

    Phone: (360) 454-1912

    Fax: (360) 454-1985

    Type: Location

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: 2021-07-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210716000201IAllergy/ImmunologyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,89146$0
95117Professional service for multiple injections of allergen9218$0
99204New patient office or other outpatient visit, 45-59 minutes7474$0
99214Established patient office or other outpatient visit, 30-39 minutes6248$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less2717$0
View full utilization report →

Insurance plans in this area (ZIP 49008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

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Frequently asked questions

Does PATRICK STASO (MD) have a public NPI I can cite?
Public records show PATRICK STASO (MD) under NPI 1750762050.
Should I treat PATRICK STASO (MD) as an active provider?
Patients and plans typically see PATRICK STASO (MD) as active in the national extract.
What type of care does PATRICK STASO (MD) provide?
PATRICK STASO (MD)'s profile centers on Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to PATRICK STASO (MD)?
The directory associates PATRICK STASO (MD) with Kalamazoo, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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