STACY GOODE MD
NPI 1225248784
Family Medicine in Marietta, OK

Q: What is Stacy Goode's NPI number?

The NPI number for Stacy Goode is 1225248784. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Stacy Goode's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Goode was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment

301 WANDA ST, MARIETTA, OK 73448(580) 276-2400 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Jan 10, 2017 (2 updates tracked since 2017).

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About Stacy Goode Md NPPES

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

STACY GOODE MD (NPI 1225248784) is an individual family medicine provider in Marietta, Oklahoma, licensed in Alabama (27479) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and is a graduate of University Of South Alabama College Of Medicine (2004).

NPPES Registry Identity

NPI1225248784

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACY GOODECredential: MD

Location Address301 WANDA STMarietta, OK 73448-1229

Mailing Address301 Wanda StMarietta, OK 73448-1229 · (580) 276-2400

Phone(580) 276-2400

Sole ProprietorYes

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2004

Enumeration DateMay 23, 2007

Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1225248784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AL · 27479

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

301 WANDA ST, Marietta, OK 73448

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Other Identifiers 1

Medicaid009913532AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mending Health and more.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

Stacy Goode 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 ID1052497591

PECOS Enrollment IDI20230929000877

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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370047

Location1011 14th Ave NWArdmore, OK 73401 · Carter County

Emergency services Birthing friendly

Mercy Hospital Marietta

Critical Access Hospitals · Marietta, OK

OwnershipGovernment - Local

CMS Certification Number371306

Location300 Wanda StreetMarietta, OK 73448 · Love County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73448 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$916.16 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier27 claims27 services$200.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

STEPHEN I HUTCHINS M.D.

Family Medicine