Individual provider Active NPI

Paul Stasko, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Syracuse, NY
National Provider Identifier
1770715237
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006584 Issued in NY
Practice address
183 Intrepid LN
Syracuse, NY 13205-2548
Phone
(315) 251-0401
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006142 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 006584 NY Primary

Addresses

Primary practice location

183 Intrepid LN
Syracuse, NY 13205-2548

Mailing address

739 Irving Ave
Suite 200
Syracuse, NY 13210-1651
Phone (315) 479-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022001824 NY Practitioner - Podiatry 3173758497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

4 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 906-4059

401 S Main St
Canandaigua, NY 14424-2126
Phone (585) 342-2410

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (315) 789-5061

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Newark-Wayne Community Hospital Hospital, Newark, NY, CCN 330030
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue72
Removal of skin lesions1-10
Removal of nail tissue415
Removal or shaving of skin growth223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006142PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 26, 2016 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Rochester General Hospital Current Accepting new patients
United Memorial Medical Center CurrentSince Oct 5, 2021 Accepting new patients
Rochester General Hospital CurrentSince Oct 26, 2016 Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

401 S Main St
Canandaigua, NY 14424
Phone (585) 394-1875

833 Canandaigua Rd
Geneva, NY 14456
Phone (315) 210-1331

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

1200 Driving Park Ave
Ste 4
Newark, NY 14513
Phone (315) 359-2629

3 Handley St
Perry, NY 14530
Phone (585) 237-3227

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: pstasko158939@direct.rochesterregional.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1770715237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101651",
            "telephone_number": "315-479-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-251-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASKO",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006142",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.