Active NPI 1255405767 Individual Practitioner Male Practitioner

Dr. Tom Stathakios , MD

Anesthesiology • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Dr. Tom Stathakios, MD is a certified Anesthesiology practicing in Dearborn, MI. With approximately 39 years of clinical experience since graduating from Wayne State University School Of Medicine in 1987, Dr. Stathakios delivers high-quality medical care to the local community at 18101 OAKWOOD BLVD.

Dr. Stathakios is affiliated with Northstar Anesthesia Of Michigan Iii Pllc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for total hip replacement, anesthesia for other procedure on urinary system through urethra. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18101 Oakwood Blvd

Dearborn, MI 481244089

Telephone 3134362374

Associated Practice Facility / Clinic

🏢 Professional Emergency Care, P.c. Facility NPI 1578568036

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1987

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Dearborn, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +11.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

32 Specialists

Practicing in Dearborn, MI (1799 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

96.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stathakios (39 Years) 39 Yrs

Dearborn Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	37	37	$2264.32	$66.16
01214 Anesthesia for total hip replacement	14	14	$4564.29	$146.77
00910 Anesthesia for other procedure on urinary system through urethra	13	13	$2140.92	$62.57
00811 Anesthesia for procedure on large bowel using an endoscope	12	12	$2106.33	$62.77
01922 Anesthesia for x-ray or radiation therapy	12	12	$3644.67	$117.11
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	11	11	$4466.55	$140.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	48	48	$2348.92	$69.73
00811 Anesthesia for procedure on large bowel using an endoscope	25	25	$2147.04	$65.73
00670 Anesthesia for procedure on spine and spinal cord	24	24	$7739.00	$271.25
01922 Anesthesia for x-ray or radiation therapy	22	22	$3175.64	$98.65
00910 Anesthesia for other procedure on urinary system through urethra	18	18	$2082.67	$61.54
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	17	16	$6398.35	$209.81
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	16	16	$4774.75	$153.04
00952 Anesthesia for exam of uterus using an endoscope	13	13	$2468.62	$79.98
00813 Anesthesia for procedure on small and large bowel using an endoscope	13	13	$2577.85	$79.82
00142 Anesthesia for lens surgery	12	12	$2011.67	$62.58
00400 Anesthesia for procedure on skin of arms, legs, or trunk	12	12	$2816.33	$88.56
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	12	12	$2958.33	$95.45
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	11	11	$2865.82	$90.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	44	43	$2323.64	$70.17
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	33	$90.00	$30.42
00811 Anesthesia for procedure on large bowel using an endoscope	28	28	$2180.71	$65.66
01922 Anesthesia for x-ray or radiation therapy	28	28	$3205.14	$104.40
00670 Anesthesia for procedure on spine and spinal cord	19	19	$7294.32	$258.14
00910 Anesthesia for other procedure on urinary system through urethra	18	18	$2145.78	$66.21
01214 Anesthesia for total hip replacement	17	17	$4594.12	$159.12
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	17	17	$2840.00	$87.66
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	15	15	$4884.80	$165.71
01112 Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone	14	14	$2292.29	$68.48
00813 Anesthesia for procedure on small and large bowel using an endoscope	14	14	$2556.00	$80.42
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	13	13	$3418.00	$60.48
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	13	13	$5417.85	$179.26
00400 Anesthesia for procedure on skin of arms, legs, or trunk	12	12	$2556.00	$83.80
01402 Anesthesia for procedure for total knee joint replacement	11	11	$4673.09	$158.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	40	39	$2477.90	$75.65
00811 Anesthesia for procedure on large bowel using an endoscope	37	35	$2087.78	$64.67
01922 Anesthesia for x-ray or radiation therapy	32	32	$3354.75	$109.99
00910 Anesthesia for other procedure on urinary system through urethra	28	27	$2089.43	$64.52
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	22	22	$4698.91	$164.58
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	17	$2923.53	$91.41
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	17	17	$5078.59	$170.10
00813 Anesthesia for procedure on small and large bowel using an endoscope	14	14	$2637.14	$80.89
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	14	14	$2799.43	$90.64
00410 Anesthesia for procedure to correct abnormal heart rhythm	13	13	$1900.62	$55.51
00530 Anesthesia for insertion of permanent heart pacemaker	11	11	$3253.09	$102.26
01112 Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone	11	11	$2272.00	$70.59
36620 Insertion of artery tube for blood sampling or infusion through skin	11	11	$721.00	$45.13
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	11	11	$2762.55	$90.33
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	11	11	$3020.73	$99.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	56	55	$1257.75	$86.12
00910 Anesthesia for other procedure on urinary system through urethra	24	23	$1085.29	$70.48
00811 Anesthesia for procedure on large bowel using an endoscope	16	16	$1039.50	$72.99
00142 Anesthesia for lens surgery	14	14	$1664.00	$77.33
01922 Anesthesia for x-ray or radiation therapy	11	11	$1680.00	$120.78
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	11	11	$2374.91	$138.93
00400 Anesthesia for procedure on skin of arms, legs, or trunk	11	11	$1484.00	$99.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	106	101	$1195.68	$84.32
00910 Anesthesia for other procedure on urinary system through urethra	41	40	$965.32	$66.54
01922 Anesthesia for x-ray or radiation therapy	41	41	$1453.61	$102.88
00811 Anesthesia for procedure on large bowel using an endoscope	40	39	$1047.20	$73.08
00142 Anesthesia for lens surgery	23	23	$997.65	$69.47
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	16	16	$2367.75	$171.94
00732 Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope	16	15	$1645.88	$120.05
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	15	15	$1365.47	$96.82
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$240.00	$31.23
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	14	13	$1716.00	$123.19
00400 Anesthesia for procedure on skin of arms, legs, or trunk	14	14	$1287.00	$89.04
00813 Anesthesia for procedure on small and large bowel using an endoscope	14	14	$1320.00	$93.59
00670 Anesthesia for procedure on spine and spinal cord	12	12	$3785.83	$278.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	95	92	$819.79	$79.93
00811 Anesthesia for procedure on large bowel using an endoscope	78	78	$738.97	$70.63
01922 Anesthesia for x-ray or radiation therapy	62	62	$1089.35	$107.63
00910 Anesthesia for other procedure on urinary system through urethra	51	46	$713.92	$68.06
00142 Anesthesia for lens surgery	37	36	$743.24	$66.55
00813 Anesthesia for procedure on small and large bowel using an endoscope	30	30	$909.33	$87.92
00400 Anesthesia for procedure on skin of arms, legs, or trunk	20	19	$847.00	$82.73
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	19	19	$1128.95	$111.52
00732 Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope	15	15	$1268.67	$125.50
00812 Anesthesia for exam of colon using an endoscope	14	14	$581.43	$53.10
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$95.00	$33.24
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	13	13	$1607.69	$161.14
00160 Anesthesia for other procedure on nose and sinuses	13	13	$1243.85	$124.62
00914 Anesthesia for removal of prostate including use of an endoscope	12	12	$1237.50	$122.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	138	138	$856.88	$81.74
00910 Anesthesia for other procedure on urinary system through urethra	81	74	$755.06	$71.43
00810 Anesthesia for procedure on lower intestine using an endoscope	80	79	$860.75	$82.52
01922 Anesthesia for x-ray or radiation therapy	78	73	$1176.15	$112.70
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	25	24	$1086.80	$104.94
00400 Anesthesia for procedure on skin of arms, legs, or trunk	22	21	$860.00	$79.79
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	20	20	$1435.50	$137.12
00142 Anesthesia for lens surgery	17	17	$705.29	$67.33
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	16	15	$1299.38	$126.82
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$95.00	$32.96
00914 Anesthesia for removal of prostate including use of an endoscope	14	14	$1162.86	$114.00
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	14	14	$350.00	$70.58
00160 Anesthesia for other procedure on nose and sinuses	13	13	$1480.77	$144.38
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	13	12	$1142.31	$110.75
00532 Anesthesia for central vein access	12	12	$1008.33	$97.45
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	12	11	$1246.67	$121.84
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	11	11	$750.00	$70.66

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MI 058286

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

104156743 (MI)

Commercial Insurance / Payer ID Migtba Medicare Reassign

P52260001 (MI)

Commercial Insurance / Payer ID Mi Bcbs

050H26218 (FL)

Hospital & Practice Group Affiliations

Northstar Anesthesia Of Michigan Iii Pllc

18101 Oakwood Blvd, Dearborn, MI 481244089

Phone: 2146870001

Secondary Practice Locations

33155 Annapolis St

Wayne, MI 481842405

Phone: 7344674667

5450 Fort St

Trenton, MI 481834601

Phone: 7346713666

Practice Associates & Co-Workers

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

10 Associated Practitioners

Megan Sanborn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003187493

Certified Registered Nurse Anesthetist

Stephanie Pers , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073567327

Certified Registered Nurse Anesthetist

Tiffany Rhodes , CRNA

Nurse Anesthetist, Certified Registered

NPI 1124398391

Certified Registered Nurse Anesthetist

Dr. Mitali Roblin , MD

Anesthesiology

NPI 1306139001

Doctor of Medicine (M.D.)

Christina Ciaramitaro , CRNA

Nurse Anesthetist, Certified Registered

NPI 1568793438

Certified Registered Nurse Anesthetist

Paula Jankowski , CRNA

Nurse Anesthetist, Certified Registered

NPI 1659336592

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 17, 2018

Registered at 18101 OAKWOOD BLVD, DEARBORN, MI 481244089 (Tel: 3134362374)

✅

NPI Profile Active April 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2008

Registered at 2 COLUMBIA DR, SUTIE A327, TAMPA, FL 336063508 (Tel: 8138444396)

📍

Updated Business Mailing Address April 10, 2008

Registered at 2 COLUMBIA DR, SUTIE A327, TAMPA, FL 336063508 (Tel: 8138444396)

👤

Provider Name / Credentials Updated April 10, 2008

Recorded as TOM STATHAKIOS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2008

Anesthesiology (License #058286 in MI)

🟢

Initial NPI Registration & Enumeration November 17, 2006

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: 1255405767

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2 Columbia Dr, Sutie A327

Tampa, FL 336063508

Phone: 8138444396

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.