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DR. STACY ANNE BACON M.D.
NPI 1013962810
Orthopaedic Surgery - Foot and Ankle Surgery in Cypress, TX

Active since May 23, 2006PECOS Enrolled
21212 NORTHWEST FWY STE 605, CYPRESS, TX 77429(281) 955-7577(281) 955-5875 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2018, Jun 2, 2017 (2 updates tracked since 2017).

About Dr. Stacy Anne Bacon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY ANNE BACON M.D. (NPI 1013962810) is an individual foot and ankle surgery provider in Cypress, Texas, licensed in Texas (M0651) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1013962810
Entity TypeIndividualFemale
Primary Taxonomy207XX0004X
Provider Legal NameDR. STACY ANNE BACONCredential: M.D.
Location Address21212 NORTHWEST FWY STE 605Cypress, TX 77429-5889
Mailing Address11800 Fm 1960 Rd WHouston, TX 77065-3840 · (281) 664-2107 · Fax (281) 955-5875
Phone(281) 955-7577
Fax(281) 955-5875
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 8, 20182 updates tracked since enumeration
✔ NPI 1013962810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in TX · M0651
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
21212 NORTHWEST FWY STE 605, Cypress, TX 77429
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Secondary Practice Location 1

Location 111800 Fm 1960 Rd WHouston, TX 77065-3840 · Phone (281) 664-2107 · Fax (281) 955-5875

Other Identifiers 1

Other8F4308TX · Bc/bs Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Anne Bacon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
68%272 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%270 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABJ PLLC
Orthopaedic Surgery
21212 NORTHWEST FWY STE 605
CYPRESS, TX 77429
Harris County (281) 955-7577
LAWTON GARRETT KING PA-C
Physician Assistant
21212 NORTHWEST FWY STE 605
CYPRESS, TX 77429
Harris County (281) 955-7577
CANDICE LEE SANDERS FNP
Nurse Practitioner (Family)
21212 NORTHWEST FWY STE 605
CYPRESS, TX 77429
Harris County (281) 955-7577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Bacon's NPI number?

The NPI number for Stacy Bacon is 1013962810. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Stacy Bacon located?

Stacy Bacon practices at 21212 Northwest Fwy Ste 605, Cypress, TX 77429. The listed phone number is (281) 955-7577.

What is Stacy Bacon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Stacy Bacon enrolled in Medicare?

Yes. Stacy Bacon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Bacon was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.