JONATHAN PATRICK STAIDLE (M.D.) – Dermatology Physician, NPI 1982994455
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Provider Addresses for JONATHAN PATRICK STAIDLE (M.D.)
2221 GARRETT RD
DREXEL HILL, PA 190261101
Phone: (610) 623-5885
Type: Mailing
607 S Maine St
Fallon, NV 894063801
Phone: (775) 324-0699
Fax: (775) 428-1007
Type: Location
640 W Moana Ln
Reno, NV 895094903
Phone: (775) 324-0699
Fax: (775) 323-6814
Type: Location
640 W MOANA LN
RENO, NV 895094903
Phone: (775) 324-0699
Type: Mailing
4814 SPARKS BLVD
SPARKS, NV 894368219
Phone: (775) 327-0699
Fax: (775) 451-7501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $920.
Total Amount is formed as General ($920) + Research ($0) + Ownership ($0) = $920.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($212).
Total Amount
$920
General + Research + Ownership
Payments
46
Total payment records
General Amount
$920
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $212 |
| Novartis Pharmaceuticals Corporation | $141 |
| Janssen Biotech, Inc. | $134 |
| E.R. Squibb & Sons, L.L.C. | $117 |
| LEO Pharma Inc. | $79 |
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: 2017-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160805001084 | I | Dermatology | PA | TBD |
| I20170815001293 | I | Dermatology | NV | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 991 | 135 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 369 | 322 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 358 | 236 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 288 | 223 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 202 | 163 | $0 |
Insurance plans in this area (ZIP 19026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | NV | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | NV | |
| - | AK | |
| - | ID | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Physician Assistant | NV |
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