DR. ALEXANDRA ELIZABETH CHACKO-STACEY MD
NPI 1285299206
Obstetrics & Gynecology in Longmont, CO

Q: What is Alexandra Chacko-stacey's NPI number?

The NPI number for Alexandra Chacko-stacey is 1285299206. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Q: What is Alexandra Chacko-stacey's specialty?

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

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment

1760 E KEN PRATT BLVD STE 201, LONGMONT, CO 80504(720) 718-8222(720) 718-0954 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Aug 17, 2023, May 6, 2019 (3 updates tracked since 2019).

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About Dr. Alexandra Elizabeth Chacko-stacey Md NPPES

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

DR. ALEXANDRA ELIZABETH CHACKO-STACEY MD (NPI 1285299206) is an individual obstetrics & gynecology provider in Longmont, Colorado, licensed in Colorado (DR.0071257) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2019).

NPPES Registry Identity

NPI1285299206

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. ALEXANDRA ELIZABETH CHACKO-STACEYCredential: MD

Location Address1760 E KEN PRATT BLVD STE 201Longmont, CO 80504-5311

Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071

Phone(720) 718-8222

Fax(720) 718-0954

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2019

Enumeration DateMay 6, 2019

Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1285299206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CO · DR.0071257

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1760 E KEN PRATT BLVD STE 201, Longmont, CO 80504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Dr. Alexandra Elizabeth Chacko-stacey 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 ID4284082942

PECOS Enrollment IDI20231120000930

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 80504 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 5

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

DR. HANNAH FANUCCHI MD

Obstetrics & Gynecology