IAN STACK PA
NPI 1154590529
Physician Assistant - Medical in Pinehurst, NC

Active since February 29, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
35 MEMORIAL DR, PINEHURST, NC 28374(910) 715-7856 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ian Stack Pa NPPES

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

IAN STACK PA (NPI 1154590529) is an individual medical provider in Pinehurst, North Carolina, licensed in North Carolina (103480) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Ochsner St Mary, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1154590529
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameIAN STACKCredential: PA
Location Address35 MEMORIAL DRPinehurst, NC 28374-8708
Mailing Address126 James Creek RdSouthern Pines, NC 28387-6819 · (910) 692-8224
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 29, 2008
NPI 1154590529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 103480
35 MEMORIAL DR, Pinehurst, NC 28374

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

Ian Stack Pa 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 ID2365518156
PECOS Enrollment IDI20250930004473
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services37 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services35 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner St Mary

Acute Care Hospitals · Morgan City, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190014
Location1125 Marguerite StreetMorgan City, LA 70380 · St. Mary County
Emergency services

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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.

Nurse Practitioner (Adult Health)
35 MEMORIAL DR
PINEHURST, NC 28374
Psychiatry & Neurology (Addiction Medicine)
35 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Undersea and Hyperbaric Medicine)
35 MEMORIAL DR
PINEHURST, NC 28374
Thoracic Surgery (Cardiothoracic Vascular Surgery)
35 MEMORIAL DR
PINEHURST, NC 28374
Social Worker (Clinical)
35 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Undersea and Hyperbaric Medicine)
35 MEMORIAL DR
PINEHURST, NC 28374
Nurse Practitioner (Psychiatric/Mental Health)
35 MEMORIAL DR
PINEHURST, NC 28374
Anesthesiology
35 MEMORIAL DR
PINEHURST, NC 28374

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 Ian Stack's NPI number?

The NPI number for Ian Stack is 1154590529. It was assigned to this individual provider in the NPPES registry on February 29, 2008.

Where is Ian Stack located?

Ian Stack practices at 35 Memorial Dr, Pinehurst, NC 28374. The listed phone number is (910) 715-7856.

What is Ian Stack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ian Stack enrolled in Medicare?

Yes. Ian Stack 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.

Is Ian Stack affiliated with any hospitals?

According to CMS data, Ian Stack is affiliated with Ochsner St Mary.

When was this NPI record last updated?

The NPPES record for Ian Stack was last updated on February 29, 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.