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STACEY JAW MD
NPI 1174190995
Obstetrics & Gynecology in Tucson, AZ

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacey Jaw Md NPPES

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

STACEY JAW MD (NPI 1174190995) is an individual obstetrics & gynecology provider in Tucson, Arizona, licensed in Arizona (77731) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2021).

NPPES Registry Identity

NPI1174190995
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSTACEY JAWCredential: MD
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1501 N Campbell Ave Box 245078Tucson, AZ 85724-0001 · (520) 626-6636
Phone(520) 694-0111
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2021
Enumeration DateJune 9, 2021
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1174190995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 77731
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1625 N CAMPBELL AVE, Tucson, AZ 85719
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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

Stacey Jaw Md 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 ID5092217612
PECOS Enrollment IDI20250904000675
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 Reassignment

Medicare enrollment records show Stacey Jaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner-University Medical Group
5.3 mi
Nutrition, Education
535 N WILMOT RD STE 101
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
NPI 1932708328 (520) 694-5437

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 85719 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

KATELYN DESALVO MD
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7944
DR. JESSICA WRIGHT
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ALEXANDRIA TAYSOM PA
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
DR. LESLIE CHRISTINE COWLES DNP, AGACNP
Nurse Practitioner (Acute Care)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ERIN RIECK DO
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-8888
JESSICA HANNA NRP
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (907) 598-3566
CHRISTOPHER J KARASCH DO
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7141
DR. JOSHUA MICHAEL ROCKEY MD
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111

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 Stacey Jaw's NPI number?

The NPI number for Stacey Jaw is 1174190995. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Stacey Jaw located?

Stacey Jaw practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Stacey Jaw's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stacey Jaw enrolled in Medicare?

Yes. Stacey Jaw 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 organization bills Medicare for Stacey Jaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Jaw reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). The 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 Stacey Jaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Jaw accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Stacey Jaw 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 Stacey Jaw was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.