STACIA E. BRANDENBURG PA-C
NPI 1063793222
Physician Assistant in Leonardtown, MD

Active since September 01, 2011PECOS EnrolledAccepts Medicare Assignment
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650(240) 826-7550 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacia E. Brandenburg Pa-c NPPES

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

STACIA E. BRANDENBURG PA-C (NPI 1063793222) is an individual physician assistant in Leonardtown, Maryland, licensed in Maryland (C0005910) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063793222
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACIA E. BRANDENBURGCredential: PA-C
Location Address25500 POINT LOOKOUT RDLeonardtown, MD 20650-2015
Mailing Address9901 Medical Center DrRockville, MD 20850-3357 · (240) 826-7550
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 1, 2011
Last NPPES UpdateDecember 11, 2018
NPI 1063793222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MD · C0005910 Licensed in CA · PA21790
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

25500 POINT LOOKOUT RD, Leonardtown, MD 20650

Accepted 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

Stacia E. Brandenburg Pa-c 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 ID345414116
PECOS Enrollment IDI20200731000903
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 20650 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Internal Medicine (Critical Care Medicine)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Radiology (Diagnostic Radiology)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Anesthesiology (Pain Medicine)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Occupational Therapist
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Physician Assistant
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Physical Therapist
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Internal Medicine
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Nurse Practitioner (Gerontology)
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650

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 Stacia Brandenburg's NPI number?

The NPI number for Stacia Brandenburg is 1063793222. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Stacia Brandenburg located?

Stacia Brandenburg practices at 25500 Point Lookout Rd, Leonardtown, MD 20650. The listed phone number is (240) 826-7550.

What is Stacia Brandenburg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacia Brandenburg enrolled in Medicare?

Yes. Stacia Brandenburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacia Brandenburg accept?

Health plans from HMO Louisiana list Stacia Brandenburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacia Brandenburg was last updated on December 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.