REBECCA STACK
NPI 1164955746
Podiatrist - Foot & Ankle Surgery in Cary, IL

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Dec 20, 2021, Jul 8, 2020 and 2 more (5 updates tracked since 2017).

About Rebecca Stack NPPES

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

REBECCA STACK (NPI 1164955746) is an individual foot & ankle surgery provider in Cary, Illinois, licensed in Illinois (016005891) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164955746
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameREBECCA STACK
Location Address113 W MAIN STCary, IL 60013-2718
Mailing Address750 E Terra Cotta Ave Ste CCrystal Lake, IL 60014-3621
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1164955746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 016005891
113 W MAIN ST, Cary, IL 60013

Other Names 1

Former Name (1)Rebecca Coyne

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

Rebecca Stack 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 ID5890112882
PECOS Enrollment IDI20200908000569
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 24

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.

Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
609 services204 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
400 services136 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
304 services125 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.
296 services159 patients
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.
291 services180 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
231 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Ambulatory Surgical)
113 W MAIN ST
CARY, IL 60013
Podiatrist (Foot & Ankle Surgery)
113 W MAIN ST
CARY, IL 60013
Podiatrist (Foot & Ankle Surgery)
113 W MAIN ST
CARY, IL 60013
Podiatrist (Foot & Ankle Surgery)
113 W MAIN ST
CARY, IL 60013
Podiatrist (Foot & Ankle Surgery)
113 W MAIN ST
CARY, IL 60013

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 Rebecca Stack's NPI number?

The NPI number for Rebecca Stack is 1164955746. It was assigned to this individual provider in the NPPES registry on April 10, 2017. The provider is also known as Rebecca Coyne.

Where is Rebecca Stack located?

Rebecca Stack practices at 113 W Main St, Cary, IL 60013. The listed phone number is (847) 639-5800.

What is Rebecca Stack's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Rebecca Stack enrolled in Medicare?

Yes. Rebecca 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 Rebecca Stack affiliated with any hospitals?

According to CMS data, Rebecca Stack is affiliated with Northwestern Medicine Mchenry and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Stack was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.