DR. ZACHERY TYLER STASKYWICZ MD
NPI 1962054171
Surgery in Grand Forks, ND

Q: What is Zachery Staskywicz's NPI number?

The NPI number for Zachery Staskywicz is 1962054171. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Q: What is Zachery Staskywicz's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment

UNIVERSITY OF NORTH DAKOTA SMHS DEPARTMENT OF SURGERY, 1301 NORTH COLUMBIA ROAD STOP 9037, GRAND FORKS, ND 58202(701) 293-4151(701) 293-4148 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Zachery Tyler Staskywicz Md NPPES

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

DR. ZACHERY TYLER STASKYWICZ MD (NPI 1962054171) is an individual surgery provider in Grand Forks, North Dakota, licensed in North Dakota (RL15810) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of North Dakota School Of Medicine (2019).

NPPES Registry Identity

NPI1962054171

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ZACHERY TYLER STASKYWICZCredential: MD

Location AddressUNIVERSITY OF NORTH DAKOTA SMHS DEPARTMENT OF SURGERY, 1301 NORTH COLUMBIA ROAD STOP 9037Grand Forks, ND 58202

Mailing AddressUniversity Of North Dakota Smhs Department Of Surgery, 1301 North Columbia Road Stop 9037Grand Forks, ND 58202 · (701) 293-4151 · Fax (701) 293-4148

Phone(701) 293-4151

Fax(701) 293-4148

Sole ProprietorYes

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2019

Enumeration DateJuly 9, 2019

✔ NPI 1962054171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in ND · RL15810

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

UNIVERSITY OF NORTH DAKOTA SMHS DEPARTMENT OF SURGERY, Grand Forks, ND 58202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Zachery Tyler Staskywicz Md 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 ID6204166317

PECOS Enrollment IDI20241003001548

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.

Hospital Affiliations CMS Care Compare

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

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number240040

Location750 East 34th StHibbing, MN 55746 · St. Louis County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58202 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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

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

DR. CHARLES ALEXANDER PEEBLES MD

Surgery

UNIVERSITY OF NORTH DAKOTA SMHS DEPARTMENT OF SURGERY, 1301 N COLUMBIA ROAD, STOP 9037
GRAND FORKS, ND 58202

Grand Forks County (701) 293-4151

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 Zachery Staskywicz's NPI number?

The NPI number for Zachery Staskywicz is 1962054171. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Zachery Staskywicz located?

Zachery Staskywicz practices at University Of North Dakota Smhs Department Of Surgery 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202. The listed phone number is (701) 293-4151.

What is Zachery Staskywicz's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Zachery Staskywicz enrolled in Medicare?

Yes. Zachery Staskywicz 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 Zachery Staskywicz accept?

Health plans from Medica list Zachery Staskywicz 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 Zachery Staskywicz affiliated with any hospitals?

According to CMS data, Zachery Staskywicz is affiliated with University Medical Center-Mesabi/ Mesaba Clinics.

When was this NPI record last updated?

The NPPES record for Zachery Staskywicz was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.