MICHAEL L STANCHINA (MD) – Pulmonary Disease Physician, NPI 1518989367
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
109 SLEEP MEDICINE in VA
Provider Addresses for MICHAEL L STANCHINA (MD)
1407S COUNTY TRL 430A
EAST GREENWICH, RI 028181679
Phone: (401) 886-7910
Fax: (401) 886-7913
Type: Mailing
1768 Business Center Dr Ste 100
Reston, VA 201905359
Phone: (800) 762-9244
Fax: (786) 672-6006
Type: Location
75 Francis St
Boston, MA 021156106
Phone: (617) 732-5500
Type: Location
455 TOLL GATE RD
PRC AND CREDENTIALING
EAST GREENWICH, RI 028181679
Phone: (401) 273-0641
Fax: (401) 273-2919
Type: Mailing
1407 S COUNTY TRL
EAST GREENWICH, RI 028181620
Phone: (401) 886-7910
Fax: (401) 886-7913
Type: Location
CVS Pharmacy, 1285, South County Trail, East Greenwich, Kent County, Rhode Island, 02818, United States
EAST GREENWICH, RI 028181620
Phone: (401) 886-7910
Fax: (401) 886-7913
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $80,089.
Total Amount is formed as General ($80,089) + Research ($0) + Ownership ($0) = $80,089.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($39,316).
Total Amount
$80,089
General + Research + Ownership
Payments
92
Total payment records
General Amount
$80,089
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $39,316 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $24,477 |
| AstraZeneca Pharmaceuticals LP | $13,426 |
| Regeneron Healthcare Solutions, Inc. | $2,666 |
| GlaxoSmithKline, LLC. | $121 |
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: 2026-01-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 19 Medicare enrollment records; no due dates published yet.
Enrollment records
19
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 |
|---|---|---|---|---|
| I20040614000359 | I | Pulmonary Disease | RI | TBD |
| I20091123000299 | I | Pulmonary Disease | MA | TBD |
| I20250307003078 | I | Pulmonary Disease | SC | TBD |
| I20250307003149 | I | Pulmonary Disease | NC | TBD |
| I20250310003228 | I | Pulmonary Disease | KY | TBD |
| I20250319000809 | I | Pulmonary Disease | MD | TBD |
| I20250320002085 | I | Pulmonary Disease | NY | TBD |
| I20250325002813 | I | Pulmonary Disease | ME | TBD |
| I20250403001307 | I | Pulmonary Disease | KS | TBD |
| I20250408002648 | I | Pulmonary Disease | VA | TBD |
| I20250508002202 | I | Internal Medicine | DC | TBD |
| I20250701003227 | I | Pulmonary Disease | AL | TBD |
| I20250724003232 | I | Internal Medicine | GA | TBD |
| I20250813000783 | I | Internal Medicine | IN | TBD |
| I20250814004969 | I | Internal Medicine | OK | TBD |
| I20250814004980 | I | Pulmonary Disease | TX | TBD |
| I20250903004200 | I | Internal Medicine | MT | TBD |
| I20251016000543 | I | Internal Medicine | MO | TBD |
| I20260101000353 | I | Pulmonary Disease | NM | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 564 | 410 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 238 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 145 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 146 | 143 | $0 |
| 94726 | Test to determine lung volumes using sensors | 136 | 132 | $0 |
Insurance plans in this area (ZIP 02818)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | RI | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| A N E S T H E S I O L O G Y | RI | |
| A N E S T H E S I O L O G Y | RI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | RI |
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