EVAN D STATHULIS (M.D.) – Family Medicine Physician, NPI 1215904180
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for EVAN D STATHULIS (M.D.)
Buckles Court, Gahanna, Mifflin Township, Ohio, 43213, United States
SUITE 100
GAHANNA, OH 43230
Phone: (614) 471-9654
Fax: (614) 392-4586
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 227 Open Payments records for all available years, with a total value of $3,637.
Total Amount is formed as General ($3,637) + Research ($0) + Ownership ($0) = $3,637.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Novo Nordisk Inc ($571).
Total Amount
$3,637
General + Research + Ownership
Payments
227
Total payment records
General Amount
$3,637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $571 |
| ABBVIE INC. | $548 |
| AstraZeneca Pharmaceuticals LP | $391 |
| Janssen Pharmaceuticals, Inc | $168 |
| GlaxoSmithKline, LLC. | $149 |
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: 2007-09-17
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 |
|---|---|---|---|---|
| I20070917000309 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 133 | 105 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 114 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 74 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 88 | 86 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 86 | 86 | $0 |
Insurance plans in this area (ZIP 43230)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Internal Medicine | OH | |
| Endocrinology, Internal Medicine | OH | |
| - | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH |
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