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DR. SARAH ALICE STACKPOLE M.D.
NPI 1124183629
Otolaryngology in New York, NY

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
240 E 79TH ST PH B, NEW YORK, NY 10075(212) 249-9700(212) 585-2604 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sarah Alice Stackpole M.d. NPPES

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

DR. SARAH ALICE STACKPOLE M.D. (NPI 1124183629) is an individual otolaryngology provider in New York, New York, licensed in New York (183489) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (1989).

NPPES Registry Identity

NPI1124183629
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SARAH ALICE STACKPOLECredential: M.D.
Location Address240 E 79TH ST PH BNew York, NY 10075-1252
Mailing Address240 E 79th St Ph BNew York, NY 10075-1252 · (212) 249-9700 · Fax (212) 585-2604
Phone(212) 249-9700
Fax(212) 585-2604
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1989
Enumeration DateDecember 26, 2006
Last NPPES UpdateJune 5, 2008
✔ NPI 1124183629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 183489
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
240 E 79TH ST PH B, New York, NY 10075
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Other Identifiers 2

Medicare UPING47394NY
Medicare PINWZTZV1NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sarah Alice Stackpole M.d. 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 ID5597865360
PECOS Enrollment IDI20070709000355
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

4

Medicare enrollment records show Sarah Stackpole reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lisa Ann Liberatore, MD, PC
0.4 mi
Specialist
154 E 85TH ST
New York, NY 10028
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1356593412 (212) 288-2222
Essen Medical Associates, PC
6.0 mi
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1366418709 (718) 583-7736
House Call Medical Services Of New York, PLLC
7.4 mi
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
NPI 1851345946 (718) 294-6200
Bronx Medical Practice P.C.
7.6 mi
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
NPI 1356726087 (646) 340-1309

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
16 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Sarah Stackpole's NPI number?

The NPI number for Sarah Stackpole is 1124183629. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Sarah Stackpole located?

Sarah Stackpole practices at 240 E 79th St Ph B, New York, NY 10075. The listed phone number is (212) 249-9700.

What is Sarah Stackpole's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sarah Stackpole enrolled in Medicare?

Yes. Sarah Stackpole 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.

Which organizations bill Medicare for Sarah Stackpole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Stackpole reassigns Medicare benefits to 4 organizations: Lisa Ann Liberatore, MD, PC (New York, NY), Essen Medical Associates, PC (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and Bronx Medical Practice P.C. (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Stackpole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Stackpole was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.