DR. JOHN DANIEL STATLER (M.D.) – Vascular & Interventional Radiology Physician, NPI 1609840685
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
269 INTERVENTIONAL RADIOLOGY in VA
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Provider Addresses for DR. JOHN DANIEL STATLER (M.D.)
Spotsylvania Avenue, Maryes Heights, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
SUITE 200
FREDERICKSBURG, VA 224088606
Phone: (540) 361-1000
Fax: (540) 361-7010
Type: Mailing
Mary Washington Hospital, 1001, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
FREDERICKSBURG, VA 224014453
Phone: (540) 361-1000
Fax: (540) 361-7010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Penumbra, Inc. ($24).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $24 |
| AngioDynamics, Inc. | $22 |
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: 2007-09-12
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 |
|---|---|---|---|---|
| I20070912000437 | I | Interventional Radiology | VA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 43,579 | 435 | $0 |
| 71046 | X-ray of chest, 2 views | 791 | 750 | $0 |
| 71045 | X-ray of chest, 1 view | 553 | 497 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 308 | 305 | $0 |
| 74018 | X-ray of abdomen, 1 view | 248 | 236 | $0 |
Insurance plans in this area (ZIP 22408)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | VA | 20610 | Aspiration and/or injection of large joint or joint capsule | 17 | 17 |
| INTERVENTIONAL RADIOLOGY | VA | 71250 | CT scan chest | 32 | 32 |
| INTERVENTIONAL RADIOLOGY | VA | 73630 | X-ray of foot, minimum of 3 views | 11 | 11 |
| INTERVENTIONAL RADIOLOGY | VA | 74177 | CT scan of abdomen and pelvis with contrast | 94 | 94 |
| INTERVENTIONAL RADIOLOGY | VA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 39 | 37 |
| INTERVENTIONAL RADIOLOGY | VA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 56 | 56 |
| INTERVENTIONAL RADIOLOGY | VA | 93922 | Ultrasound study of arteries of both arms and legs | 28 | 28 |
| INTERVENTIONAL RADIOLOGY | VA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 54 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Diagnostic Radiology | VA |
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