STACY A BRETHAUER MD
NPI 1043363989
Surgery in Columbus, OH

Q: What is Stacy Brethauer's NPI number?

The NPI number for Stacy Brethauer is 1043363989. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Stacy Brethauer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Brethauer was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 22, 2007PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

2050 KENNY RD, COLUMBUS, OH 43221(614) 366-6675(614) 366-8166 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Mar 10, 2021, Feb 6, 2020 and 1 more (4 updates tracked since 2019).

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About Stacy A Brethauer Md NPPES

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

STACY A BRETHAUER MD (NPI 1043363989) is an individual surgery provider in Columbus, Ohio, licensed in Ohio (35086034) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1993).

NPPES Registry Identity

NPI1043363989

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSTACY A BRETHAUERCredential: MD

Location Address2050 KENNY RDColumbus, OH 43221-3502

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 366-6675 · Fax (614) 366-8166

Phone(614) 366-6675

Fax(614) 366-8166

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1993

Enumeration DateJanuary 22, 2007

Last NPPES UpdateFebruary 28, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1043363989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35086034

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2050 KENNY RD, Columbus, OH 43221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy A Brethauer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002845781

PECOS Enrollment IDI20050812000210

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

95.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.58

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers12 claims360 services$7.13 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers12 claims4,860 services$0.46 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims73 services$282.46 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims73 services$8.09 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims73 services$25.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSHUA REARDON PHARMD, RPH

Pharmacist (Oncology)

2050 KENNY RD, ROOM 824
COLUMBUS, OH 43221

Franklin County (614) 366-0558

EMPICARE, INC.

Prosthetic/Orthotic Supplier

2050 KENNY RD, SUITE 3300
COLUMBUS, OH 43221

Franklin County (614) 293-2754

PRIYA HARAKH DEDHIA M.D.

Surgery (Surgical Oncology)