Active NPI 1104819705 Individual Practitioner Male Practitioner

Dr. Stanislaw P Dajczak , MD

Orthopaedic Surgery • Defiance, OH

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Stanislaw Dajczak, MD is a registered Orthopaedic Surgery practitioner in Defiance, OH. With approximately 35 years of clinical practice since completing medical education in 1991, Dr. Dajczak provides healthcare services at the registered practice location at 1250 RALSTON AVE.

Dr. Dajczak is affiliated with Specialty Physicians Of Blanchard Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 Ralston Ave
Suite 102

Defiance, OH 435125311

Telephone 4197836996

Fax 4197828062

Associated Practice Facility / Clinic

🏢 Defiance Regional Medical Center Facility NPI 1083713770

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Defiance, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Defiance, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dajczak (35 Years) 35 Yrs

Defiance Specialty Average (35.0 Years) 35.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	75	$238.00	$118.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	58	$336.00	$170.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$312.00	$154.82
73502 X-ray of hip, 2-3 views	22	15	$89.00	$10.17
73562 X-ray of knee, 3 views	18	13	$77.00	$8.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$209.00	$104.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	94	$238.00	$121.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	67	$336.00	$168.00
73562 X-ray of knee, 3 views	67	56	$57.51	$30.30
73502 X-ray of hip, 2-3 views	66	40	$164.58	$35.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$312.00	$156.35
73030 X-ray of shoulder, minimum of 2 views	42	25	$50.52	$26.15
73110 X-ray of wrist, minimum of 3 views	41	20	$63.17	$37.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$209.00	$107.20
27130 Replacement of thigh bone and hip joint with prosthesis	15	12	$3055.00	$1245.70
27447 Replacement of knee joint, both sides of knee	11	11	$3050.00	$1148.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	65	$183.00	$121.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	57	$245.00	$173.35
73562 X-ray of knee, 3 views	61	42	$76.72	$43.98
73502 X-ray of hip, 2-3 views	56	39	$213.00	$44.04
20610 Aspiration and/or injection of fluid from large joint	41	18	$133.00	$63.17
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	33	13	$846.83	$130.29
73030 X-ray of shoulder, minimum of 2 views	26	20	$61.00	$34.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$183.00	$108.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$283.00	$162.38
73110 X-ray of wrist, minimum of 3 views	21	13	$75.00	$42.10
36415 Insertion of needle into vein for collection of blood sample	14	12	$25.00	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$124.00	$87.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	63	$183.00	$126.50
73562 X-ray of knee, 3 views	96	70	$75.75	$41.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	56	$245.00	$175.06
73502 X-ray of hip, 2-3 views	47	34	$213.00	$43.18
73110 X-ray of wrist, minimum of 3 views	45	24	$75.00	$43.13
73030 X-ray of shoulder, minimum of 2 views	42	28	$61.00	$31.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$283.00	$161.51
73610 X-ray of ankle, minimum of 3 views	40	15	$66.00	$35.51
73130 X-ray of hand, minimum of 3 views	32	27	$64.00	$36.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$183.00	$106.52
73080 X-ray of elbow, minimum of 3 views	18	15	$66.00	$30.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$353.00	$217.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	61	$245.00	$142.38
73562 X-ray of knee, 3 views	80	58	$76.05	$41.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	55	$183.00	$105.48
73030 X-ray of shoulder, minimum of 2 views	56	31	$61.00	$31.53
73110 X-ray of wrist, minimum of 3 views	55	25	$75.00	$38.16
73502 X-ray of hip, 2-3 views	53	38	$213.00	$42.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$283.00	$158.99
20610 Aspiration and/or injection of fluid from large joint	37	13	$133.00	$61.69
73130 X-ray of hand, minimum of 3 views	29	21	$64.00	$34.43
73610 X-ray of ankle, minimum of 3 views	27	12	$66.00	$33.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	110	$183.00	$104.38
73562 X-ray of knee, 3 views	76	66	$75.79	$38.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$283.00	$158.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	55	$245.00	$140.05
73502 X-ray of hip, 2-3 views	61	43	$213.00	$40.09
73030 X-ray of shoulder, minimum of 2 views	55	39	$61.00	$27.89
20610 Aspiration and/or injection of fluid from large joint	50	23	$133.00	$58.36
73110 X-ray of wrist, minimum of 3 views	44	25	$75.00	$37.18
64721 Release and/or relocation of hand nerve	19	16	$951.00	$418.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$183.00	$103.83
J1040 Injection, methylprednisolone acetate, 80 mg	17	15	$82.45	$12.06
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$124.00	$71.37
27130 Replacement of thigh bone and hip joint with prosthesis	12	11	$3055.00	$1283.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	84	$183.00	$100.31
73562 X-ray of knee, 3 views	86	63	$76.19	$37.28
20610 Aspiration and/or injection of fluid from large joint	69	31	$133.00	$57.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$283.00	$158.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	51	$245.00	$136.37
73502 X-ray of hip, 2-3 views	42	37	$213.00	$37.80
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	40	13	$814.57	$146.07
73110 X-ray of wrist, minimum of 3 views	37	22	$75.00	$34.49
73030 X-ray of shoulder, minimum of 2 views	26	22	$61.00	$26.83
73610 X-ray of ankle, minimum of 3 views	25	16	$66.00	$28.69
J1040 Injection, methylprednisolone acetate, 80 mg	25	19	$65.58	$11.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$353.00	$200.25
27447 Replacement of knee joint, both sides of knee	16	16	$3050.00	$1344.11
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$124.00	$70.05
36415 Insertion of needle into vein for collection of blood sample	12	12	$25.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	101	$183.00	$100.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$283.00	$154.69
73562 X-ray of knee, 3 views	54	43	$74.00	$37.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	42	$245.00	$134.38
73030 X-ray of shoulder, minimum of 2 views	47	30	$61.00	$28.33
73502 X-ray of hip, 2-3 views	47	37	$213.00	$38.08
20610 Aspiration and/or injection of fluid from large joint	41	23	$113.00	$59.81
73110 X-ray of wrist, minimum of 3 views	35	18	$75.00	$34.84
73130 X-ray of hand, minimum of 3 views	17	15	$64.00	$28.75
J1040 Injection, methylprednisolone acetate, 80 mg	15	14	$61.09	$10.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$326.60	$197.76

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35085114

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2542001 (OH)

Commercial Insurance / Payer ID Aetna

5598615

Commercial Insurance / Payer ID Phc

04648 (OH)

Commercial Insurance / Payer ID Anthem

000000362612 (OH)

Commercial Insurance / Payer ID Uhc

17-98831 (OH)

Commercial Insurance / Payer ID Rrmc

P00192953 (OH)

Commercial Insurance / Payer ID Rrmc

PO0192953 (OH)

Hospital & Practice Group Affiliations

Specialty Physicians Of Blanchard Valley Llc

1721 Medical Blvd, Findlay, OH 458401354

Phone: 4194296473

Practice Associates & Co-Workers

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

4 Associated Practitioners

Marina Ballatin

Physician Assistant

NPI 1225828676

James Harger , PA

Physician Assistant - Medical

NPI 1588661805

Physician Assistant

Alisha Hudson , NP-C, FNP-BC

Nurse Practitioner - Family

NPI 1639750524

Nurse Practitioner (Certified), Family Nurse Practitioner (Board Certified)

Sarah Roberts , PA-C

Physician Assistant

NPI 1689173080

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 April 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 30, 2012

Registered at 1250 RALSTON AVE, SUITE 102, DEFIANCE, OH 435125311 (Tel: 4197836996)

📍

Updated Business Mailing Address April 30, 2012

Registered at 1250 RALSTON AVE, SUITE 102, DEFIANCE, OH 435125311 (Tel: 4197836996)

👤

Provider Name / Credentials Updated April 30, 2012

Recorded as STANISLAW DAJCZAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2012

Orthopaedic Surgery (License #35085114 in OH)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1104819705

Entity Type:

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

Enumeration Date: August 30, 2005

Last Update: April 30, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1250 Ralston Ave, Suite 102

Defiance, OH 435125311

Phone: 4197836996

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.