EDWIN C STANLEY (MD) – Diagnostic Radiology Physician, NPI 1124148499
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for EDWIN C STANLEY (MD)
BIN 88399
MILAWAUKEE, WI 532880399
Phone: (901) 448-1463
Fax: (901) 448-1465
Type: Mailing
333 PINE RIDGE BLVD
WAUSSAU, WI 544012121
Phone: (715) 847-2283
Fax: (484) 503-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $158.
Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($122).
Total Amount
$158
General + Research + Ownership
Payments
3
Total payment records
General Amount
$158
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Progenics Pharmaceuticals, Inc. | $122 |
| ARGON MEDICAL DEVICES, INC. | $20 |
| Boston Scientific Corporation | $16 |
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: 2013-07-31
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 |
|---|---|---|---|---|
| I20130731000121 | I | Diagnostic Radiology | WI | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 272 | 223 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 89 | 89 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 84 | 80 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 61 | 56 | $0 |
| 71046 | X-ray of chest, 2 views | 59 | 59 | $0 |
Insurance plans in this area (ZIP 53288)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | PA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 23 | 23 |
| DIAGNOSTIC RADIOLOGY | PA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 52 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | WI | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | TX | |
| Physician Assistant | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | WI |
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