DR. MICHAEL P STANICH DO
NPI 1114986015
Orthopaedic Surgery in Youngstown, OH

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7067 TIFFANY BLVD, SUITE 150, YOUNGSTOWN, OH 44514(330) 726-9077(330) 726-8715 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael P Stanich Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL P STANICH DO (NPI 1114986015) is an individual orthopaedic surgery provider in Youngstown, Ohio, licensed in Ohio (34003460) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Surgical Hospital At Southwoods, and is a graduate of Mid West Medical College (1978).

NPPES Registry Identity

NPI1114986015
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL P STANICHCredential: DO
Location Address7067 TIFFANY BLVD, SUITE 150Youngstown, OH 44514-1981
Mailing Address7067 Tiffany Blvd, Suite 150Youngstown, OH 44514-1981 · (330) 726-9077 · Fax (330) 726-8715
Fax(330) 726-8715
Sole ProprietorYes
Medical School CMSMid West Medical CollegeGraduated 1978
Enumeration DateMarch 20, 2006
Last NPPES UpdateDecember 5, 2007
NPI 1114986015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 34003460
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
7067 TIFFANY BLVD, Youngstown, OH 44514

Other Identifiers 3

Medicaid0516098OH
Medicare UPINE00685
Medicare PIN0534651OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael P Stanich Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385770908
PECOS Enrollment IDI20100407000240
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services54 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
117 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
7067 TIFFANY BLVD, SUITE 150
YOUNGSTOWN, OH 44514
Radiology (Diagnostic Radiology)
7067 TIFFANY BLVD
YOUNGSTOWN, OH 44514
Anesthesiology (Pain Medicine)
7067 TIFFANY BLVD, SUITE 230
YOUNGSTOWN, OH 44514
Clinical Nurse Specialist (Acute Care)
7067 TIFFANY BLVD, SUITE 230
YOUNGSTOWN, OH 44514
Clinical Nurse Specialist (Adult Health)
7067 TIFFANY BLVD, SUITE 230
POLAND, OH 44514
Nurse Practitioner (Family)
7067 TIFFANY BLVD
YOUNGSTOWN, OH 44514
Internal Medicine
7067 TIFFANY BLVD, STE 250
YOUNGSTOWN, OH 44514
Nurse Practitioner (Family)
7067 TIFFANY BLVD
POLAND, OH 44514

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Stanich's NPI number?

The NPI number for Michael Stanich is 1114986015. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Michael Stanich located?

Michael Stanich practices at 7067 Tiffany Blvd Suite 150, Youngstown, OH 44514. The listed phone number is (330) 726-9077.

What is Michael Stanich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Stanich enrolled in Medicare?

Yes. Michael Stanich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Stanich accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Michael Stanich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Stanich affiliated with any hospitals?

According to CMS data, Michael Stanich is affiliated with Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Michael Stanich was last updated on December 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.