MARY CAROLINE STANCUKAS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1356757934
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,097 PODIATRY in TX
Provider Addresses for MARY CAROLINE STANCUKAS (DPM)
6076 AZLE AVE
SUITE 200
LAKE WORTH, TX 761352627
Phone: (817) 238-8400
Fax: (817) 238-8401
Type: Mailing
929 Lipscomb St
Fort Worth, TX 761043173
Phone: (817) 926-2663
Fax: (817) 293-8860
Type: Location
167 Regency Pkwy Ste 103
Mansfield, TX 760636660
Phone: (817) 926-2663
Fax: (817) 293-8860
Type: Location
215 OLD HIGHWAY 1187
BURLESON, TX 760280281
Phone: (817) 926-2663
Fax: (817) 293-8860
Type: Mailing
6076 AZLE AVE STE 200
LAKE WORTH, TX 761352627
Phone: (817) 238-8400
Fax: (817) 238-8401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $662.
Total Amount is formed as General ($662) + Research ($0) + Ownership ($0) = $662.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Averitas Pharma Inc. ($220).
Total Amount
$662
General + Research + Ownership
Payments
27
Total payment records
General Amount
$662
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $220 |
| Amgen Inc. | $122 |
| Innovation Technologies Inc | $72 |
| ACUMED LLC | $38 |
| Paratek Pharmaceuticals, Inc. | $34 |
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: 2017-08-31
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 |
|---|---|---|---|---|
| I20170831001825 | I | Podiatry | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 24 | 18 | $0 |
Insurance plans in this area (ZIP 76135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TX | |
| Orthopedic Surgery | TX | |
| Interventional Pain Management, Pain Management | TX | |
| Pain Management, Anesthesiology | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | NY | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX |
Reviews
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