LYLE D STARK (PA-C) – Physician Assistant, NPI 1306946819
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for LYLE D STARK (PA-C)
2500 MORRIS AVE STE 200
UNION, NJ 070835675
Phone: (732) 906-9600
Fax: (732) 377-0393
Type: Mailing
922 MAIN ST STE 201
PATERSON, NJ 075032602
Phone: (732) 906-9600
Fax: (732) 377-0393
Type: Location
Comtech HQ, 68, South Service Road, Huntington, Suffolk County, New York, 11747, United States
SUITE 350
MELVILLE, NY 11747
Phone: (516) 945-3357
Fax: (516) 945-3131
Type: Mailing
Central Avenue, University Heights, Newark, Essex County, New Jersey, 07102, United States
NEWARK, NJ 071021909
Phone: (973) 877-5300
Fax: (973) 877-2621
Type: Location
8 MILLS RD
MONTEBELLO, NY 109013747
Phone: (201) 913-3012
Type: Mailing
1 VALLEY HEALTH PLZ
PARAMUS, NJ 076523628
Phone: (201) 634-5555
Fax: (201) 634-5454
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $537.
Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Abbott Laboratories ($184).
Total Amount
$537
General + Research + Ownership
Payments
15
Total payment records
General Amount
$537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-12-15
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 |
|---|---|---|---|---|
| I20061215000293 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 130 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 39 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 21 | 16 | $0 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 17 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 07083)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology | NY | |
| Family Practice | NJ | |
| C H I R O P R A C T I C | NJ | |
| Internal Medicine | NJ | |
| - | PA | |
| - | NJ | |
| - | NC | |
| General Surgery | NY | |
| Certified Nurse Midwife (Cnm) | NY | |
| Nurse Practitioner | NJ |
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