DEMETRIUS S STELMASHENKO (PA-C) – Surgical Physician Assistant, NPI 1891789889

DEMETRIUS S STELMASHENKO (PA-C) is a healthcare provider. based in Fairfield, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2873 (FL). The NPI Number for DEMETRIUS S STELMASHENKO (PA-C) is 1891789889

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DEMETRIUS S STELMASHENKO (PA-C)
NPI
1891789889
Phone
(973) 826-8080
Address
695 US HIGHWAY 46
Enumeration Date
6 September 2005
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4077671200
Graduation Year
1993 (33 years ago)
PAC ID
1759285315
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20101007000233
Address ID
FL327462551LA380XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for DEMETRIUS S STELMASHENKO (PA-C)

  • 695 US HIGHWAY 46

    SUITE 400A

    FAIRFIELD, NJ 070041592

    Phone: (973) 826-8080

    Fax: (866) 309-3354

    Type: Mailing

  • PO BOX 4059

    WAYNE, NJ 074744059

    Phone: (973) 826-8291

    Type: Mailing

  • Edgewater Drive, College Park, Orlando, Orange County, Florida, 32804, United States

    ORLANDO, FL 328042206

    Phone: (407) 539-2000

    Fax: (407) 398-0050

    Type: Location

  • 4215 Edgewater Dr

    Orlando, FL 328042206

    Phone: (407) 539-2000

    Fax: (407) 398-0050

    Type: Location

  • 92 W MILLER ST

    ORLANDO, FL 328062032

    Phone: (407) 649-6907

    Fax: (321) 841-5245

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $250.

Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Baxter Healthcare ($124).

Total Amount

$250

General + Research + Ownership

Payments

4

Total payment records

General Amount

$250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2010-10-07

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
I20101007000233IPhysician AssistantFLTBD

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
22630Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc1616$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1616$0
63030Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc1313$0
View full utilization report →

Insurance plans in this area (ZIP 07004)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

How do I look up DEMETRIUS S STELMASHENKO (PA-C) by NPI?
Use NPI 1891789889 when you need to reference DEMETRIUS S STELMASHENKO (PA-C) in forms, claims, or directories.
Is DEMETRIUS S STELMASHENKO (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DEMETRIUS S STELMASHENKO (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for DEMETRIUS S STELMASHENKO (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for DEMETRIUS S STELMASHENKO (PA-C)?
The page summarizes Fairfield, New Jersey for DEMETRIUS S STELMASHENKO (PA-C); expand the address list for detail.
How can I contact DEMETRIUS S STELMASHENKO (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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