JOHN STACY MD
NPI 1073142311
Internal Medicine - Cardiovascular Disease in Aurora, CO

Q: What is John Stacy's NPI number?

The NPI number for John Stacy is 1073142311. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is John Stacy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for John Stacy was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 08, 2020PECOS Enrolled

13001 E 17TH PL, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 5, 2023, Apr 8, 2020 (2 updates tracked since 2020).

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About John Stacy Md NPPES

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

JOHN STACY MD (NPI 1073142311) is an individual cardiovascular disease provider in Aurora, Colorado, licensed in Wisconsin (81774-20) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073142311

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJOHN STACYCredential: MD

Location Address13001 E 17TH PLAurora, CO 80045-2570

Mailing Address600 Highland AveMadison, WI 53792-0001

Phone(303) 724-1784

Sole ProprietorNo

Enumeration DateApril 8, 2020

Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1073142311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WI · 81774-20

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

13001 E 17TH PL, Aurora, CO 80045

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Stacy 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 80045 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

BENJAMIN ROBERT WHARTON MD

Student in an Organized Health Care Education/Training Program