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MARK R STASZKIEWICZ M.D.
NPI 1417914524
Pediatrics in West Bend, WI

Active since May 01, 2006PECOS Enrolled
1700 W PARADISE DR, WEST BEND, WI 53095(262) 334-3451 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2023, Dec 6, 2017 (2 updates tracked since 2017).

About Mark R Staszkiewicz M.d. NPPES

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

MARK R STASZKIEWICZ M.D. (NPI 1417914524) is an individual pediatrics provider in West Bend, Wisconsin, licensed in Wisconsin (38128) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417914524
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMARK R STASZKIEWICZCredential: M.D.
Location Address1700 W PARADISE DRWest Bend, WI 53095-9795
Mailing Address1700 W Paradise DrWest Bend, WI 53095-9795 · (262) 334-3451
Phone(262) 334-3451
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1417914524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 38128
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1700 W PARADISE DR, West Bend, WI 53095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark R Staszkiewicz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Staszkiewicz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee, Inc
14 mi
Multi-Specialty
13111 N PORT WASHINGTON RD
Mequon, WI 53097
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1710928221 (414) 270-4932
Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
16 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
Ascension Medical Group-Southeast Wisconsin Inc
23 mi
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1609881077 (414) 465-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

GARY L PREISLER
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
AMY MCGRAW
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
ELLIE JEAN MCMEEKEN OTR/L
Occupational Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
RYAN DOUGLAS LANGER DNP
Nurse Practitioner (Family)
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
DEBORAH S HAAS
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
BRUCE G GRISWOLD MD
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
JENNIFER NICOLE THOMSON APNP
Nurse Practitioner (Family)
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451
DR. NATALIE FAITH HOWELL DPT
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Washington County (262) 334-3451

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 Mark Staszkiewicz's NPI number?

The NPI number for Mark Staszkiewicz is 1417914524. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Mark Staszkiewicz located?

Mark Staszkiewicz practices at 1700 W Paradise Dr, West Bend, WI 53095. The listed phone number is (262) 334-3451.

What is Mark Staszkiewicz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Staszkiewicz enrolled in Medicare?

Yes. Mark Staszkiewicz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Staszkiewicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Staszkiewicz reassigns Medicare benefits to 3 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Staszkiewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Staszkiewicz accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Network Health list Mark Staszkiewicz 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.

When was this NPI record last updated?

The NPPES record for Mark Staszkiewicz was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.