Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STACEY EDWIN PODKOVIK D.O.
NPI 1215463914
Neurological Surgery in Los Angeles, CA

Active since May 02, 2017PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 660-2450 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Jul 7, 2026, Dec 10, 2025 and 1 more (4 updates tracked since 2024).

About Dr. Stacey Edwin Podkovik D.o. NPPES

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

DR. STACEY EDWIN PODKOVIK D.O. (NPI 1215463914) is an individual neurological surgery provider in Los Angeles, California, licensed in California (20A16756) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2017).

NPPES Registry Identity

NPI1215463914
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. STACEY EDWIN PODKOVIKCredential: D.O.
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address3250 Wilshire Blvd Ste 1101Los Angeles, CA 90010-1513 · (323) 361-3550
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateMay 2, 2017
Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1215463914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in CA · 20A16756✔ Licensed in FL · OS20696✔ Licensed in AZ · THDO00023✔ Licensed in MO · 2026038128
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4650 W SUNSET BLVD, Los Angeles, CA 90027

Secondary Practice Locations 4

Location 19300 Valley Childrens PlMadera, CA 93636-8762 · Phone (559) 353-6257
Location 2100 W Gore St Ste 403Orlando, FL 32806-1049 · Phone (321) 841-3050 · Fax (321) 843-3570
Location 33100 SW 62nd AveMiami, FL 33155-3009 · Phone (800) 432-6837
Location 426520 Cactus Ave, Rm. A1005Moreno Valley, CA 92555-3927 · Phone (951) 486-5914

Other Identifiers 1

Medicaid128226900FL

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 (PECOS)

Dr. Stacey Edwin Podkovik D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325541923
PECOS Enrollment IDI20250910003578, I20251222001610
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 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Podkovik's NPI number?

The NPI number for Stacey Podkovik is 1215463914. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Stacey Podkovik located?

Stacey Podkovik practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.

What is Stacey Podkovik's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Stacey Podkovik enrolled in Medicare?

Yes. Stacey Podkovik is registered in the Medicare PECOS enrollment system.

What insurance does Stacey Podkovik accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Stacey Podkovik 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 Podkovik was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.