LARS STANGENBERG (MD) – Vascular Surgery Physician, NPI 1003077090
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
26 VASCULAR SURGERY in RI
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Provider Addresses for LARS STANGENBERG (MD)
2, Dudley Street, Providence, Providence County, Rhode Island, 02905, United States
SUITE 470
PROVIDENCE, RI 029053236
Phone: (401) 553-8318
Fax: (401) 868-2307
Type: Location
110 Liberty St
Brockton, MA 023015674
Phone: (508) 565-0452
Type: Location
41 Highland Ave
Winchester, MA 018901446
Phone: (781) 729-2020
Type: Location
680 Centre St
Brockton, MA 023023308
Phone: (508) 941-7000
Type: Location
PO BOX 16149
RUMFORD, RI 029160697
Phone: (401) 453-9625
Fax: (401) 435-7069
Type: Mailing
PO BOX 24300
NEW YORK, NY 100874300
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $6,574.
Total Amount is formed as General ($6,574) + Research ($0) + Ownership ($0) = $6,574.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Inari Medical, Inc. ($1,749).
Total Amount
$6,574
General + Research + Ownership
Payments
38
Total payment records
General Amount
$6,574
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 |
|---|---|
| Inari Medical, Inc. | $1,749 |
| Intuitive Surgical, Inc. | $1,528 |
| Cook Medical LLC | $1,142 |
| Boston Scientific Corporation | $938 |
| W. L. Gore & Associates, Inc. | $449 |
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: 2020-03-09
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 |
|---|---|---|---|---|
| I20200309002602 | I | Vascular Surgery | MA | 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 |
|---|---|---|---|---|
| 93923 | Complete ultrasound study of arm and leg arteries | 132 | 123 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 106 | 103 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 67 | $0 |
| 93926 | Ultrasound of one leg arteries or artery grafts | 65 | 63 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 59 | 52 | $0 |
Insurance plans in this area (ZIP 02905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | RI | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | NC |
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