COLLEEN B STASZAK (D.O.) – Family Medicine Physician, NPI 1780651836
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for COLLEEN B STASZAK (D.O.)
26908, Detroit Road, Westlake, Cuyahoga County, Ohio, 44145, United States
SUITE 301
WESTLAKE, OH 441452398
Phone: (440) 617-1823
Fax: (440) 617-0884
Type: Mailing
19800, Detroit Road, Rocky River, Cuyahoga County, Ohio, 44145, United States
ROCKY RIVER, OH 441161884
Phone: (440) 333-1107
Fax: (440) 333-1064
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $516.
Total Amount is formed as General ($516) + Research ($0) + Ownership ($0) = $516.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($171).
Total Amount
$516
General + Research + Ownership
Payments
24
Total payment records
General Amount
$516
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $171 |
| Merck Sharp & Dohme LLC | $98 |
| Lilly USA, LLC | $95 |
| ABBVIE INC. | $69 |
| Novo Nordisk Inc | $20 |
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: 2004-03-31
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 |
|---|---|---|---|---|
| I20040331000045 | 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 |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 146 | 146 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 66 | $0 |
| 83036 | Hemoglobin a1c level | 64 | 29 | $0 |
| G0008 | Administration of influenza virus vaccine | 29 | 29 | $0 |
Insurance plans in this area (ZIP 44145)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 81002 | Urinalysis, manual test | 24 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | IL | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC | |
| Nurse Practitioner | OH |
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