KELLY STARICHA (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1356979140
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Provider Addresses for KELLY STARICHA (MD)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
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 2 Open Payments records for all available years, with a total value of $315.
Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.
Last reported payment date: 2024-09-28 • Largest payer in this snapshot: KLS-Martin L.P. ($210).
Total Amount
$315
General + Research + Ownership
Payments
2
Total payment records
General Amount
$315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $210 |
| Integra LifeSciences Corporation | $106 |
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: 2025-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210909002879 | I | Otolaryngology | MN | TBD |
| I20250702000687 | I | Otolaryngology | PA | 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 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Critical Care (Intensivists) | PA | |
| - | PA | |
| - | PA | |
| Cardiac Surgery, General Surgery | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | MD | |
| - | SC | |
| - | PA | |
| - | PA |
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