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Active NPI 1265426910 Individual Practitioner Male Practitioner

Dr. John Stathakis , DO

Dermatology • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. John Stathakis, DO is a registered healthcare professional specializing in Dermatology in Phoenix, AZ. Practice services are available at 5056 N CENTRAL AVE under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5056 N Central Ave

Phoenix, AZ 850121521

Telephone 6022229111
Fax 6022229333
Associated Practice Facility / Clinic
🏢 Phoenix Skin Ii Pc Facility NPI 1609078997

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
75 Specialists

Practicing in Phoenix, AZ (369 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
111 13 $20.00 $5.93
99213 Established patient office or other outpatient visit, typically 15 minutes
36 21 $82.81 $73.81
17000 Destruction of skin growth
21 15 $90.00 $50.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 16 $125.56 $104.80
11102 Tangential biopsy of single skin lesion
15 12 $130.00 $88.83
17110 Destruction of up to 14 skin growths
11 11 $133.55 $104.98

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 0999

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Patrick Purves , PA

Physician Assistant

NPI 1083216873

Physician Assistant

Alexia Ford , PA-C

Physician Assistant

NPI 1215626601

Physician Assistant (Certified)

Katherine Haworth , PA-C

Physician Assistant

NPI 1265573810

Physician Assistant (Certified)

Michael Richards , PA

Physician Assistant

NPI 1306840707

Physician Assistant

NPI 1386648350

Doctor of Medicine (M.D.)

Teresa Hunt , PA-C

Physician Assistant

NPI 1518389857

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2013

Registered at 5056 N CENTRAL AVE, PHOENIX, AZ 850121521 (Tel: 6022229111)

📍
Updated Business Mailing Address July 11, 2013

Registered at 5056 N CENTRAL AVE, PHOENIX, AZ 850121521 (Tel: 6022229111)

👤
Provider Name / Credentials Updated July 11, 2013

Recorded as JOHN STATHAKIS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Dermatology (License #0999 in AZ)

🟢
Initial NPI Registration & Enumeration September 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265426910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: July 11, 2013
Sole Proprietor: No

Mailing Address

5056 N Central Ave

Phoenix, AZ 850121521

Phone: 6022229111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.