CHARLES M. STIVALA (DO) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1295721447

CHARLES M. STIVALA (DO) is a healthcare provider. based in Scranton, Pennsylvania. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold the professional credentials DO. They hold a License No. OS012844 (PA). The NPI Number for CHARLES M. STIVALA (DO) is 1295721447

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES M. STIVALA (DO)
NPI
1295721447
Phone
(570) 969-7355
Address
1800 Mulberry St
Enumeration Date
23 September 2005
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8564709029
Graduation Year
2003 (23 years ago)
PAC ID
5395713556
Group Practice PAC ID
1557260122
Professional Enrollment ID
I20190128000858

Contacts

Secure Messaging
cstivala101211@directvirtua.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

Provider Addresses for CHARLES M. STIVALA (DO)

  • 1800 Mulberry St

    Scranton, PA 185102369

    Phone: (570) 969-7355

    Fax: (570) 969-7354

    Type: Location

  • 410, Lippincott Drive, Marlton, Evesham Township, Burlington County, New Jersey, 08053, United States

    MARLTON, NJ 080534197

    Phone: (856) 355-0340

    Fax: (856) 355-0330

    Type: Mailing

  • Geisinger Community Medical Center, 1800, Mulberry Street, Scranton, Lackawanna County, Pennsylvania, 18510, United States

    SCRANTON, PA 185102369

    Phone: (570) 969-7355

    Fax: (570) 969-7354

    Type: Location

  • 3600 ROUTE 66 FL 3

    NEPTUNE, NJ 077532645

    Phone: (732) 807-0880

    Type: Mailing

  • 65 W JIMMIE LEEDS RD

    POMONA, NJ 082409102

    Phone: (609) 748-7089

    Fax: (609) 652-3460

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,145.

Total Amount is formed as General ($1,145) + Research ($0) + Ownership ($0) = $1,145.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: ATRICURE, INC. ($397).

Total Amount

$1,145

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2019-01-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190128000858IThoracic SurgeryNJTBD

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
33361Replacement of aortic valve through the skin and femoral artery2525$0
33533Coronary artery bypass using artery graft, 1 graft1111$0
View full utilization report →

Insurance plans in this area (ZIP 18510)

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Provider's Procedures

CHARLES M. STIVALA (DO) performs procedures in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYPA33405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine1212
CARDIAC SURGERYPA33518Combined multiple vein and artery heart artery bypasses1515
CARDIAC SURGERYPA33533Heart artery bypass to repair one artery3232

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: 1557260122View full group profile

Reviews

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Frequently asked questions

How do I look up CHARLES M. STIVALA (DO) by NPI?
Use NPI 1295721447 when you need to reference CHARLES M. STIVALA (DO) in forms, claims, or directories.
Is CHARLES M. STIVALA (DO)'s NPI currently valid?
The extract we use shows CHARLES M. STIVALA (DO) as active.
What does CHARLES M. STIVALA (DO) treat or focus on?
Patients typically see CHARLES M. STIVALA (DO) under the specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Does CHARLES M. STIVALA (DO) practice in Pennsylvania?
You will see Scranton, Pennsylvania on file for CHARLES M. STIVALA (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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