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BENJAMIN ROBERT STACY D.O.
NPI 1093127367
Psychiatry & Neurology - Psychiatry in Statesville, NC

Active since May 21, 2014PECOS Enrolled
93.24/100
CMS Quality Rating
1450 FERN CREEK DR, STATESVILLE, NC 28625(704) 818-9191(704) 872-3782 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Dec 9, 2020, Aug 6, 2020 and 1 more (4 updates tracked since 2019).

About Benjamin Robert Stacy D.o. NPPES

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

BENJAMIN ROBERT STACY D.O. (NPI 1093127367) is an individual psychiatry provider in Statesville, North Carolina, licensed in North Carolina (2019-00320) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093127367
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameBENJAMIN ROBERT STACYCredential: D.O.
Location Address1450 FERN CREEK DRStatesville, NC 28625-9376
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1900
Phone(704) 818-9191
Fax(704) 872-3782
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 21, 2014
Last NPPES UpdateDecember 4, 20254 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1093127367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2019-00320
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1450 FERN CREEK DR, Statesville, NC 28625
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Secondary Practice Locations 2

Location 1518 Brookdale DrStatesville, NC 28677-4108 · Phone (704) 872-9595
Location 21703 Davie AveStatesville, NC 28677-3521 · Phone (704) 818-9191 · Fax (704) 862-5324

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc 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 (PECOS)

Benjamin Robert Stacy D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981821402
PECOS Enrollment IDI20251215002102
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 28625 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

KATHERINE ASHE ROETHLING LCSWA
Social Worker (Clinical)
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 237-4240
JANIYAH RENEE MOORE LCSWA
Social Worker (Clinical)
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 818-9191
ESENAM DANKWA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 818-9191
BRANDI HAMILTON ANTHONY LCSW
Social Worker (Clinical)
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 818-9191
GASTON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 818-9191
KA-LISHA MAE SIMONS MD
Psychiatry & Neurology (Psychiatry)
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 818-9191
NICHOLAS FASCIANO
Social Worker (Clinical)
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 237-4240
DANIELLE LUNA RUDEL LCSW
Social Worker (Clinical)
1450 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 818-9191

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 Benjamin Stacy's NPI number?

The NPI number for Benjamin Stacy is 1093127367. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Benjamin Stacy located?

Benjamin Stacy practices at 1450 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 818-9191.

What is Benjamin Stacy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Benjamin Stacy enrolled in Medicare?

Yes. Benjamin Stacy is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Stacy accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Benjamin Stacy 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 Benjamin Stacy was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.