MS. STACEY MARIE DIANTONIO PA-C
NPI 1215211529
Physician Assistant in Canton, OH

Active since October 05, 2011PECOS EnrolledAccepts Medicare Assignment
4124 MUNSON ST NW, CANTON, OH 44718(234) 410-7546 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, May 11, 2021 (2 updates tracked since 2021).

About Ms. Stacey Marie Diantonio Pa-c NPPES

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

MS. STACEY MARIE DIANTONIO PA-C (NPI 1215211529) is an individual physician assistant in Canton, Ohio, licensed in Ohio (003342) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Akron, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215211529
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. STACEY MARIE DIANTONIOCredential: PA-C
Location Address4124 MUNSON ST NWCanton, OH 44718-2979
Mailing Address29111 Cedar RdMayfield Heights, OH 44124-4005 · (440) 646-1600 · Fax (440) 646-1505
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 5, 2011
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1215211529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 003342
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4124 MUNSON ST NW, Canton, OH 44718

Secondary Practice Location 1

Location 1214 W Bowery StAkron, OH 44308-1046 · Phone (330) 543-4649 · Fax (330) 543-9998

Accepted Insurance

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

Ms. Stacey Marie Diantonio Pa-c 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 ID8527230317
PECOS Enrollment IDI20111021000127
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 44718 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

Internal Medicine (Gastroenterology)
4124 MUNSON ST NW, SUITE A
CANTON, OH 44718
Clinic/Center (Ambulatory Surgical)
4124 MUNSON ST NW, SUITE A
CANTON, OH 44718
Internal Medicine (Gastroenterology)
4124 MUNSON ST NW, SUITE A
CANTON, OH 44718

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 Diantonio's NPI number?

The NPI number for Stacey Diantonio is 1215211529. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Where is Stacey Diantonio located?

Stacey Diantonio practices at 4124 Munson St NW, Canton, OH 44718. The listed phone number is (234) 410-7546.

What is Stacey Diantonio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Diantonio enrolled in Medicare?

Yes. Stacey Diantonio 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.

What insurance does Stacey Diantonio accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Insurance Corporation of Ohio and SummaCare list Stacey Diantonio 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 Diantonio was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.