MARK JOSEPH STAVAS (MD) – Radiation Oncology Physician, NPI 1336468636

MARK JOSEPH STAVAS (MD) is a healthcare provider. based in Lincoln, Nebraska. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD53147 (TN). The NPI Number for MARK JOSEPH STAVAS (MD) is 1336468636

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MARK JOSEPH STAVAS (MD)
NPI
1336468636
Phone
(402) 420-7000
Address
4101 TIGER LILY RD STE 100
Enumeration Date
26 May 2010
Last Update Date
16 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024207000
Graduation Year
2010 (16 years ago)
PAC ID
8820303191
Group Practice PAC ID
9436148426
Professional Enrollment ID
I20171219000790
Address ID
NE685102496LI201XXPLXX502

Contacts

Secure Messaging
admin@sncc.oncoemrdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

39 RADIATION ONCOLOGY in NE

Provider Addresses for MARK JOSEPH STAVAS (MD)

  • 4101 TIGER LILY RD STE 100

    LINCOLN, NE 685165587

    Phone: (402) 420-7000

    Fax: (402) 420-6969

    Type: Mailing

  • 201 S 68TH STREET PL STE 200

    LINCOLN, NE 685102496

    Phone: (402) 420-7000

    Fax: (402) 420-7240

    Type: Mailing

  • 3901 PINE LAKE RD STE 111

    LINCOLN, NE 685165497

    Phone: (402) 481-6090

    Fax: (402) 481-6089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $1,224.

Total Amount is formed as General ($1,224) + Research ($0) + Ownership ($0) = $1,224.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($94).

Total Amount

$1,224

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2017-12-19

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
I20171219000790IRadiation OncologyNETBD

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
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,163115$0
77014Ct guidance for insertion of radiation therapy fields721120$0
77300Calculation of radiation therapy dose406138$0
77427Radiation treatment management, 5 treatment sessions369127$0
77336Continuing radiation therapy consultation per week323146$0
View full utilization report →

Insurance plans in this area (ZIP 68516)

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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: 9436148426View full group profile
NameSpecialtyState
Nurse PractitionerNE
Occupational Therapist In Private PracticeNE
Radiation OncologyNE
H E M A T O L O G Y/ O N C O L O G YNE
-NE
Nurse PractitionerNE
-NE
Hematology/Oncology, Internal MedicineNE
Radiation OncologyNE
Hematology/Oncology, Internal MedicineNE

Reviews

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Frequently asked questions

What is the registry number for MARK JOSEPH STAVAS (MD)?
The registry entry for MARK JOSEPH STAVAS (MD) shows NPI 1336468636.
Is MARK JOSEPH STAVAS (MD) currently accepting referrals based on NPI status?
Registry metadata lists MARK JOSEPH STAVAS (MD) as active.
What type of care does MARK JOSEPH STAVAS (MD) provide?
MARK JOSEPH STAVAS (MD)'s profile centers on Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is MARK JOSEPH STAVAS (MD) tied to Lincoln, Nebraska?
If you are local to Lincoln, Nebraska, MARK JOSEPH STAVAS (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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