SERENA STASKO – Optometrist, NPI 1366166241

SERENA STASKO is a healthcare provider. based in Evans city, Pennsylvania. specializing in OPTOMETRY. They hold a License No. 2446 (SC). The NPI Number for SERENA STASKO is 1366166241

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SERENA STASKO
NPI
1366166241
Phone
(412) 862-9063
Address
117 PAULINE PL
Enumeration Date
3 October 2022
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
8438812492
Graduation Year
2023 (3 years ago)
PAC ID
3577919802
Group Practice PAC ID
4587998802
Professional Enrollment ID
I20231024000026
Address ID
SC294643487MO966XXBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for SERENA STASKO

  • 117 PAULINE PL

    EVANS CITY, PA 160337748

    Phone: (412) 862-9063

    Type: Mailing

  • PO BOX 880

    FORT WASHINGTON, PA 190340880

    Phone: (412) 862-9063

    Type: Mailing

  • 9770 DORCHESTER RD UNIT 101

    SUMMERVILLE, SC 294857541

    Phone: (843) 767-2328

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($173).

Total Amount

$437

General + Research + Ownership

Payments

7

Total payment records

General Amount

$437

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

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: 2023-10-24

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
I20231024000026IOptometrySCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16033)

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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: 4587998802View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YSC
O P T O M E T R YCO
O P T O M E T R YMN
-VA
O P T O M E T R YOH
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YIL

Reviews

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Frequently asked questions

Does SERENA STASKO have a public NPI I can cite?
Public records show SERENA STASKO under NPI 1366166241.
Is SERENA STASKO currently accepting referrals based on NPI status?
Registry metadata lists SERENA STASKO as active.
How should patients interpret SERENA STASKO's specialty?
The extract shows Optometrist for SERENA STASKO. Clinical services aligned with this taxonomy classification.
Can patients visit SERENA STASKO in Evans City, Pennsylvania?
For routing, start with Evans City, Pennsylvania for SERENA STASKO, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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