TODD P STACHOWIAK (PA-C) – Physician Assistant, NPI 1831166768

TODD P STACHOWIAK (PA-C) is a healthcare provider. based in Marysville, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601003463 (MI). The NPI Number for TODD P STACHOWIAK (PA-C) is 1831166768

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
TODD P STACHOWIAK (PA-C)
NPI
1831166768
Phone
(810) 364-4000
Address
3350 GRATIOT BLVD
Enumeration Date
28 February 2006
Last Update Date
4 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109875000
Graduation Year
2000 (26 years ago)
PAC ID
5395840144
Group Practice PAC ID
3476456252
Professional Enrollment ID
I20070424000008
Address ID
MI480603511PO1221XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for TODD P STACHOWIAK (PA-C)

  • 3350, Gratiot Boulevard, Marysville, Saint Clair County, Michigan, 48040, United States

    MARYSVILLE, MI 480402121

    Phone: (810) 364-4000

    Fax: (810) 364-5995

    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)

CMS reports 297 Open Payments records for all available years, with a total value of $4,698.

Total Amount is formed as General ($4,698) + Research ($0) + Ownership ($0) = $4,698.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($796).

Total Amount

$4,698

General + Research + Ownership

Payments

297

Total payment records

General Amount

$4,698

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-04-24

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
I20070424000008IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes360175$0
99213Established patient office or other outpatient visit, 20-29 minutes11683$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8282$0
83036Hemoglobin a1c level8142$0
81003Automated urinalysis test4328$0
View full utilization report →

Insurance plans in this area (ZIP 48040)

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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: 3476456252View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
-MI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI
-MI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

Does TODD P STACHOWIAK (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TODD P STACHOWIAK (PA-C) uses 1831166768.
Does the file indicate TODD P STACHOWIAK (PA-C) is practicing under active NPI?
Directory data currently reports TODD P STACHOWIAK (PA-C) as active.
What healthcare role does TODD P STACHOWIAK (PA-C) hold?
Scheduling teams often label TODD P STACHOWIAK (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for TODD P STACHOWIAK (PA-C)?
TODD P STACHOWIAK (PA-C)'s geographic hint is Marysville, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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