Subject Numbers Regarding Health Provider Authorizations

Authorization No. 178562-5W

July 25, 2016

Pursuant to Workers' Compensation Law Section 13-d(4), the Chair of the New York State Workers' Compensation Board has exercised his authority to temporarily suspend Dr. Thomas Stavola's authorization to treat injured workers within the New York State workers' compensation system effective July 20, 2016. Dr. Stavola's last known business address is 75-20 Juniper Boulevard S., Middle Village, New York 11379.

The Chair's designee's investigation has revealed that the New York State Department of Health, State Board for Professional Medical Conduct (BPMC) has issued Commissioner’s Order of Summary Action # 16-235, wherein Dr. Stavola was directed that, effective immediately, he shall not practice medicine in the State of New York, pending final conclusion of a hearing held pursuant to the provisions of N.Y. Pub. Health Law §230, and N.Y. State Admin. Proc. Act §§301-307 and 401, for felony convictions to one count of Manslaughter in the Second Degree, in violation of N.Y. Penal Law §125.15(1), one count of Leaving the Scene of an Incident without Reporting, in violation of Vehicle and Traffic Law §600(2), and Driving While Intoxicated in violation of Vehicle and Traffic Law §1192(2), for which he was sentenced to two years imprisonment.

Therefore, the Chair believes that Dr. Stavola may be guilty of misconduct, and that such misconduct would detrimentally affect the quality of care provided to injured workers.

Dr. Stavola is prohibited from rendering treatment and care to injured workers while his authorization is temporarily suspended. Reports submitted by Dr. Stavola for services rendered prior to July 20, 2016, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Stavola for services rendered prior to July 20, 2016, should not be denied due to the suspension of his authorization.

This suspension remains in effect until further notice. Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.