KEVIN F STAVELEY-OCARROLL (M.D.) – Surgery Physician, NPI 1679539803
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
Provider Addresses for KEVIN F STAVELEY-OCARROLL (M.D.)
1 Hospital Dr
Columbia, MO 652120001
Phone: (573) 884-4854
Fax: (573) 884-6054
Type: Location
263 FARMINGTON AVENUE
FARMINGTON, CT 060308063
Phone: (860) 679-8080
Fax: (860) 679-1340
Type: Mailing
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
1 HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 884-4854
Fax: (573) 884-6054
Type: Location
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282751461
Phone: (843) 792-6200
Type: Mailing
The Medical University of South Carolina, 171, Ashley Avenue, Charleston, Charleston County, South Carolina, 29425, United States
CHARLESTON, SC 294258908
Phone: (843) 792-1414
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: 2024-03-05
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 |
|---|---|---|---|---|
| I20240305000245 | I | General Surgery | CT | 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 | 58 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 65212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | NY | |
| E N D O C R I N O L O G Y | VA | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Endocrinology, Internal Medicine | CT | |
| Critical Care (Intensivists) | CT | |
| Hospitalist, Internal Medicine | CT | |
| Gynecological Oncology | NY | |
| Physician Assistant | CT | |
| Hand Surgery, Orthopedic Surgery | CT |
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