HOLLY STACEY MD
NPI 1083276380
Pediatrics in Syracuse, NY

Q: What is Holly Stacey's NPI number?

The NPI number for Holly Stacey is 1083276380. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Q: What is Holly Stacey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Stacey was last updated on August 17, 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 July 08, 2019PECOS Enrolled

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5420 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2023, Jun 12, 2023, Jul 8, 2019 (3 updates tracked since 2019).

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About Holly Stacey Md NPPES

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

HOLLY STACEY MD (NPI 1083276380) is an individual pediatrics provider in Syracuse, New York, licensed in New York (321954) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083276380

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameHOLLY STACEYCredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2306

Mailing Address750 E Adams StSyracuse, NY 13210-2306

Phone(315) 464-5420

Sole ProprietorNo

Enumeration DateJuly 8, 2019

Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration

NPPES CertifiedJune 12, 2023

✔ NPI 1083276380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 321954

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

750 E ADAMS ST, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Stacey 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.

Medicare Billing Reassignments

Medicare enrollment records show Holly Stacey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Service Group

0.1 mi

Pediatrics

750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
131 clinicians in this Medicare group

NPI 1770539066 (315) 464-5450

Upstate Emergency Medicine, Inc

0.1 mi

Emergency Medicine

750 E. ADAMS ST.
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
170 clinicians in this Medicare group

NPI 1275589582 (315) 464-4363

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

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.

DAVID M KANTER MD

Physical Medicine & Rehabilitation