STACY RENE BEDORE MD
NPI 1023815990
Urology in Rochester, MN

Q: What is Stacy Bedore's NPI number?

The NPI number for Stacy Bedore is 1023815990. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Q: What is Stacy Bedore's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Bedore was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 27, 2025PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511(507) 284-0702 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 13, 2026, Feb 27, 2025 (2 updates tracked since 2025).

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About Stacy Rene Bedore Md NPPES

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

STACY RENE BEDORE MD (NPI 1023815990) is an individual urology provider in Rochester, Minnesota, licensed in Minnesota (35947) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1023815990

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameSTACY RENE BEDORECredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511 · Fax (507) 284-0702

Phone(507) 284-2511

Fax(507) 284-0702

Sole ProprietorNo

Enumeration DateFebruary 27, 2025

Last NPPES UpdateMay 13, 20262 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1023815990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MN · 35947

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-0211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Rene Bedore Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

EMILY LEASURE MD

Internal Medicine