CONRAD J STACHELEK (MD) – Radiation Oncology Physician, NPI 1104822543

CONRAD J STACHELEK (MD) is a healthcare provider. based in Erie, Pennsylvania. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD049426L (PA). The NPI Number for CONRAD J STACHELEK (MD) is 1104822543

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
CONRAD J STACHELEK (MD)
NPI
1104822543
Phone
(814) 452-5400
Address
2508 MYRTLE STREET
Enumeration Date
21 June 2005
Last Update Date
11 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
4123598850
Graduation Year
1986 (40 years ago)
PAC ID
6709840705
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20100408000444
Address ID
PA165440002ER232XXSTXX403

Contacts

Secure Messaging
cstachelek148951@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

419 RADIATION ONCOLOGY in PA

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Provider Addresses for CONRAD J STACHELEK (MD)

  • 2508, Myrtle Street, Little Italy, Erie, Erie County, Pennsylvania, 16502, United States

    SUITE 100

    ERIE, PA 165052700

    Phone: (814) 452-5400

    Fax: (814) 454-2003

    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 4 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-05-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($34).

Total Amount

$95

General + Research + Ownership

Payments

4

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-17

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: 2010-04-08

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
I20100408000444IRadiation OncologyPATBD

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
77014Ct guidance for insertion of radiation therapy fields55648$0
77427Radiation treatment management, 5 treatment sessions11238$0
77334Design and construction of complex radiation treatment device10435$0
77300Calculation of radiation therapy dose9139$0
99213Established patient office or other outpatient visit, 20-29 minutes8665$0
View full utilization report →

Insurance plans in this area (ZIP 16505)

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Provider's Procedures

CONRAD J STACHELEK (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYPA74177CT scan of abdomen and pelvis with contrast9988
RADIATION ONCOLOGYPA77263Management of radiation therapy, complex6664
RADIATION ONCOLOGYPA77427Radiation treatment management, 5 treatments26393

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: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

Reviews

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Frequently asked questions

What number should I use to identify CONRAD J STACHELEK (MD) for billing?
Administrative and clinical systems typically use NPI 1104822543 for CONRAD J STACHELEK (MD).
Quick check: is CONRAD J STACHELEK (MD) active?
Public NPPES data shows CONRAD J STACHELEK (MD) with an active NPI status right now.
Which specialty label fits CONRAD J STACHELEK (MD)?
NPPES ties CONRAD J STACHELEK (MD) to Radiation Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is CONRAD J STACHELEK (MD) tied to Erie, Pennsylvania?
If you are local to Erie, Pennsylvania, CONRAD J STACHELEK (MD) may be relevant to your search.
Can I export CONRAD J STACHELEK (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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