DR. STACIE LYNN ROSHONG-DENK (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1770542243
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
749 PATHOLOGY in OH
Provider Addresses for DR. STACIE LYNN ROSHONG-DENK (M.D.)
4235 Secor Rd
Toledo, OH 436234299
Phone: (419) 479-5859
Type: Location
2600, Navarre Avenue, Oregon, Lucas County, Ohio, 43616, United States
OREGON, OH 436163207
Phone: (419) 696-7200
Type: Location
4235 SECOR RD
TOLEDO, OH 436234299
Phone: (419) 473-3561
Fax: (419) 479-5593
Type: Mailing
5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436141509
Phone: (800) 288-8325
Type: Mailing
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.
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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: 2005-10-28
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 |
|---|---|---|---|---|
| I20051028000991 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,081 | 683 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 487 | 350 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 113 | 22 | $0 |
| 88120 | Cell examination of urine, manual | 83 | 72 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 48 | 43 | $0 |
Insurance plans in this area (ZIP 43623)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | OH | 88342 | Tissue or cell analysis by immunologic technique | 190 | 153 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| U R O L O G Y | OH | |
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Orthopedic Surgery | OH |
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