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STACY N. HOM MD
NPI 1265693410
Family Medicine in Bethesda, MD

Active since June 20, 2008Opted out of Medicare · through May 8, 2027
4853 CORDELL AVE PH 10, BETHESDA, MD 20814(240) 262-3194(240) 655-0648 Get Directions Write a Review

NPPES record last updated: November 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2025, Nov 1, 2016 (2 updates tracked since 2016).

About Stacy N. Hom Md NPPES

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

STACY N. HOM MD (NPI 1265693410) is an individual family medicine provider in Bethesda, Maryland, licensed in Maryland (D0102201) and active in the NPI registry since June 2008. She has opted out of Medicare through May 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265693410
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACY N. HOMCredential: MD
Location Address4853 CORDELL AVE PH 10Bethesda, MD 20814-3036
Mailing Address4853 Cordell Ave Ph 10Bethesda, MD 20814-3036 · (240) 262-3194 · Fax (240) 655-0648
Phone(240) 262-3194
Fax(240) 655-0648
Sole ProprietorYes
Enumeration DateJune 20, 2008
Last NPPES UpdateNovember 22, 20252 updates tracked since enumeration
NPPES CertifiedNovember 22, 2025
✔ NPI 1265693410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0102201
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.
4853 CORDELL AVE PH 10, Bethesda, MD 20814
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stacy N. Hom Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 8, 2025 through May 8, 2027.

Opt-Out Effective DateMay 8, 2025
Opt-Out In Effect ThroughMay 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

JAMIE WICK
Acupuncturist
4853 CORDELL AVE PH 10
BETHESDA, MD 20814
Montgomery County (347) 257-0181
MICHAEL RICAUD BROWN MAC
Acupuncturist
4853 CORDELL AVE PH 10
BETHESDA, MD 20814
Montgomery County (301) 683-9481
POINT OF LIGHT LLC
Acupuncturist
4853 CORDELL AVE PH 10
BETHESDA, MD 20814
Montgomery County (240) 903-0826

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 Stacy Hom's NPI number?

The NPI number for Stacy Hom is 1265693410. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Stacy Hom located?

Stacy Hom practices at 4853 Cordell Ave Ph 10, Bethesda, MD 20814. The listed phone number is (240) 262-3194.

What is Stacy Hom's specialty?

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

Is Stacy Hom enrolled in Medicare?

No. Stacy Hom has opted out of Medicare through May 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stacy Hom was last updated on November 22, 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.