DR. RANDALL DAVID STASTNY DMD
NPI 1699772509
Dentist - Oral and Maxillofacial Surgery in Blue Ash, OH

Q: What is Randall Stastny's NPI number?

The NPI number for Randall Stastny is 1699772509. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Randall Stastny's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Randall Stastny enrolled in Medicare?

No. Randall Stastny has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Randall Stastny was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 07, 2005Opted out of Medicare · through Apr 1, 2027

4350 MALSBARY RD, SUITE 201, BLUE ASH, OH 45242(513) 984-2100(513) 984-2155 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Randall David Stastny Dmd NPPES

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

DR. RANDALL DAVID STASTNY DMD (NPI 1699772509) is an individual oral and maxillofacial surgery provider in Blue Ash, Ohio, licensed in Ohio (30-1-8892) and active in the NPI registry since July 2005. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699772509

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. RANDALL DAVID STASTNYCredential: DMD

Location Address4350 MALSBARY RD, SUITE 201Blue Ash, OH 45242-5665

Mailing Address4350 Malsbary Rd, Suite 201Blue Ash, OH 45242-5665 · (513) 984-2100 · Fax (513) 984-2155

Phone(513) 984-2100

Fax(513) 984-2155

Sole ProprietorYes

Enumeration DateJuly 7, 2005

Last NPPES UpdateMarch 16, 2012

✔ NPI 1699772509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in OH · 30-1-8892

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4350 MALSBARY RD, Blue Ash, OH 45242

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Other Identifiers 3

Other11892OH · Humana

Medicare UPINU33772OH

Medicare PINST0742746OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Randall David Stastny Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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.

Other Providers at the Same Location NPPES 14

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

MRS. SAMANTHA BRAUN APRN

Nurse Practitioner (Family)

4350 MALSBARY RD
BLUE ASH, OH 45242

Hamilton County (513) 751-2273

ONCOLOGY HEMATOLOGY CARE, INC.

Internal Medicine (Medical Oncology)

4350 MALSBARY RD
CINCINNATI, OH 45242

Hamilton County (513) 751-2273

DR. PATRICK J WARD MD

Internal Medicine (Hematology & Oncology)

4350 MALSBARY RD
CINCINNATI, OH 45242

Hamilton County (513) 751-2273

ONCOLOGY HEMATOLOGY CARE, INC

Pharmacy (Home Infusion Therapy Pharmacy)

4350 MALSBARY RD, SUITE 205
CINCINNATI, OH 45242

Hamilton County (513) 751-2273

ANDREW S GUINIGUNDO CNP

Nurse Practitioner (Adult Health)

4350 MALSBARY RD
CINCINNATI, OH 45242

Hamilton County (513) 751-2273

DOUG HART RN

Registered Nurse

4350 MALSBARY RD
BLUE ASH, OH 45242

Hamilton County (513) 751-2273

AMY PIERCE RN

Registered Nurse

4350 MALSBARY RD
BLUE ASH, OH 45242

Hamilton County (513) 751-2273

ROMA SRIVASTAVA M.D.

Internal Medicine (Hematology & Oncology)

4350 MALSBARY RD
BLUE ASH, OH 45242

Hamilton County (513) 751-2273

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 Randall Stastny's NPI number?

The NPI number for Randall Stastny is 1699772509. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Randall Stastny located?

Randall Stastny practices at 4350 Malsbary Rd Suite 201, Blue Ash, OH 45242. The listed phone number is (513) 984-2100.

What is Randall Stastny's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Randall Stastny enrolled in Medicare?

No. Randall Stastny has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randall Stastny accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 8 other insurers list Randall Stastny 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 Randall Stastny was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.