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GREGORY PAUL STAVISKI M.D.
NPI 1619934379
Specialist in Mary Esther, FL

Active since April 27, 2006PECOS Enrolled
151 MARY ESTHER BLVD, SUITE 303, MARY ESTHER, FL 32569(850) 243-7788(850) 243-7738 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gregory Paul Staviski M.d. NPPES

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

GREGORY PAUL STAVISKI M.D. (NPI 1619934379) is an individual specialist in Mary Esther, Florida, licensed in Florida (ME63238) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619934379
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGREGORY PAUL STAVISKICredential: M.D.
Location Address151 MARY ESTHER BLVD, SUITE 303Mary Esther, FL 32569-1972
Mailing AddressPo Box 699Gulf Breeze, FL 32562-0699 · (850) 243-7788 · Fax (850) 243-7738
Phone(850) 243-7788
Fax(850) 243-7738
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1619934379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME63238
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
151 MARY ESTHER BLVD, Mary Esther, FL 32569
Open in Google Maps ↗

Other Identifiers 2

Other7290008FL · Aetna
Other44880FL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Paul Staviski 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 Reassignment

Medicare enrollment records show Gregory Staviski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Interventional Pain Physicians, P.A.
Same address
Specialist
151 MARY ESTHER BLVD, SUITE 303
Mary Esther, FL 32569
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1700843513 (850) 243-7788

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

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.

NIGHTINGALE HEALTH CARE LLC
Nurse Practitioner
151 MARY ESTHER BLVD, SUITE 408
MARY ESTHER, FL 32569
Okaloosa County (850) 533-6244
MRS. MARTHA LAWSON VAN DAM M.S., NCC
Counselor (Mental Health)
151 MARY ESTHER BLVD, SUITE 507
MARY ESTHER, FL 32569
Okaloosa County (850) 226-7419
JOHN PAUL BURKS LMT
Massage Therapist
151 MARY ESTHER BLVD, STE 307A
MARY ESTHER, FL 32569
Okaloosa County (850) 200-7178
CAROLYN N. KETCHEL, P.A.
Social Worker (Clinical)
151 MARY ESTHER BLVD, SUITE 302
MARY ESTHER, FL 32569
Okaloosa County (850) 243-1302
LAMVIEN QUOC NGUYEN M.D.
Specialist
151 MARY ESTHER BLVD, SUITE 303
MARY ESTHER, FL 32569
Okaloosa County (850) 243-7788
STEPPING STONES PROFESSIONAL COUNSELING, INC.
Counselor (Mental Health)
151 MARY ESTHER BLVD, SUITE 310-A
MARY ESTHER, FL 32569
Okaloosa County (850) 226-6430
JOSEPH P. SKELLY M.S., L.M.H.C.
Counselor (Mental Health)
151 MARY ESTHER BLVD, SUITE 201
MARY ESTHER, FL 32569
Okaloosa County (850) 862-6030
BEVERLY DAWN BURKS LMT
Massage Therapist
151 MARY ESTHER BLVD, STE 307A
MARY ESTHER, FL 32569
Okaloosa County (850) 200-7039

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 Gregory Staviski's NPI number?

The NPI number for Gregory Staviski is 1619934379. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Gregory Staviski located?

Gregory Staviski practices at 151 Mary Esther Blvd Suite 303, Mary Esther, FL 32569. The listed phone number is (850) 243-7788.

What is Gregory Staviski's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gregory Staviski enrolled in Medicare?

Yes. Gregory Staviski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gregory Staviski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Staviski reassigns Medicare benefits to Southeastern Interventional Pain Physicians, P.A. (Mary Esther, FL). The 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 Gregory Staviski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gregory Staviski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.