Zachery Tyler Staskywicz, MD
NPI 1962054171ActiveIndividual· Surgery· Grand Forks, ND
Surgery (MD) in Grand Forks, North Dakota, trained at University of North Dakota School of Medicine (class of 2019). In 2024 Medicare paid $3,211 for 12 patients, and Part D covered 65 of their prescriptions, 78% of them generic.
Overview
| NPI | 1962054171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2019 |
| Last updated in NPPES | Jul 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | RL15810 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 22 across 16 procedure codes |
| Paid by Medicare | $3,211 |
Part D prescriptions in 2024
| Prescriptions (claims) | 65 · 74 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $776.56 |
| Generic share | 78% of claims |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | General Surgery |
Medical group
- Range Regional Health ServicesHibbing, MN · 353 clinicians
Hospital affiliation
- Range Regional Health ServicesHibbing, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 60 general surgeons in Grand Forks · All general surgeons in North Dakota