JEREMY LEE STANEK (MD) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1053654111

JEREMY LEE STANEK (MD) is a healthcare provider. based in Columbia, Missouri. specializing in SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 2014014145 (MO). The NPI Number for JEREMY LEE STANEK (MD) is 1053654111

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY LEE STANEK (MD)
NPI
1053654111
Phone
(573) 882-3101
Address
1 Hospital Dr # Dc046.00
Enumeration Date
27 March 2013
Last Update Date
27 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6507234000
Graduation Year
2013 (13 years ago)
PAC ID
4486877321
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20181012002253
Address ID
CA940633132RE450XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

144 SPORTS MEDICINE in MO

Provider Addresses for JEREMY LEE STANEK (MD)

  • 1 Hospital Dr # Dc046.00

    Columbia, MO 652121000

    Phone: (573) 882-3101

    Type: Location

  • 4625 Lindell Blvd Ste 420

    Saint Louis, MO 631083729

    Phone: (314) 747-2555

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $745.

Total Amount is formed as General ($745) + Research ($0) + Ownership ($0) = $745.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($726).

Total Amount

$745

General + Research + Ownership

Payments

8

Total payment records

General Amount

$745

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-10-12

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
I20181012002253ISports MedicineCATBD

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
J2795Injection, ropivacaine hydrochloride, 1 mg3,180131$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,077148$0
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg78012$0
99214Established patient office or other outpatient visit, 30-39 minutes260183$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance254175$0
View full utilization report →

Insurance plans in this area (ZIP 65212)

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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: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

Does JEREMY LEE STANEK (MD) have a public NPI I can cite?
Public records show JEREMY LEE STANEK (MD) under NPI 1053654111.
Does the public listing show JEREMY LEE STANEK (MD) as active?
JEREMY LEE STANEK (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits JEREMY LEE STANEK (MD)?
NPPES ties JEREMY LEE STANEK (MD) to Sports Medicine (Physical Medicine & Rehabilitation) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JEREMY LEE STANEK (MD)?
JEREMY LEE STANEK (MD) shows a connection to Columbia, Missouri in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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