JOHN SCOTT STADALSKY MD
NPI 1699720250
Pediatrics in Goose Creek, SC
About John Scott Stadalsky Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN SCOTT STADALSKY MD (NPI 1699720250) is an individual pediatrics provider in Goose Creek, South Carolina, licensed in South Carolina (24015) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Scott Stadalsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Stadalsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 140 clinicians in this Medicare group
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 29445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Stadalsky's NPI number?
The NPI number for John Stadalsky is 1699720250. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Scott Stadalsky MD.
Where is John Stadalsky located?
John Stadalsky practices at 105 Springhall Dr, Goose Creek, SC 29445. The listed phone number is (843) 766-6308.
What is John Stadalsky's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is John Stadalsky enrolled in Medicare?
Yes. John Stadalsky is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Stadalsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Stadalsky reassigns Medicare benefits to Musc Affiliate Physicians (Charleston, SC). 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 John Stadalsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Stadalsky accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list John Stadalsky 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 John Stadalsky was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# John Scott Stadalsky, MD · NPI 1699720250
Pediatrics physician in Goose Creek, South Carolina. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1699720250 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 24015 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 SPRINGHALL DR, Goose Creek, SC 29445-5370
- **Phone:** (843) 766-6308 · **Fax:** (866) 533-4473
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Musc Affiliate Physicians (NPI 1548849482, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2019
- **Other identifiers:** Other 571020809007 (SC); Medicaid T83086 (SC); Other 571020809042 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1699720250) · Data from the CMS NPPES public registry.