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DR. SUSAN STACKER
NPI 1306903786
Dentist - Periodontics in Wausau, WI

Active since January 03, 2007Opted out of Medicare · through Sep 21, 2026
1220 N 6 STREET, WAUSAU, WI 54401(715) 845-7759(715) 845-4509 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan Stacker NPPES

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

DR. SUSAN STACKER (NPI 1306903786) is an individual periodontics provider in Wausau, Wisconsin, licensed in Wisconsin (4828) and active in the NPI registry since January 2007. She has opted out of Medicare through September 21, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306903786
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SUSAN STACKER
Location Address1220 N 6 STREETWausau, WI 54401-1220
Mailing Address1220 N 6 StreetWausau, WI 54403-1220 · (715) 845-7759 · Fax (715) 845-4509
Phone(715) 845-7759
Fax(715) 845-4509
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateMarch 4, 2014
✔ NPI 1306903786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in WI · 4828✔ Licensed in IL · 4828
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1220 N 6 STREET, Wausau, WI 54401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Susan Stacker 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 September 21, 2016 through September 21, 2026.

Opt-Out Effective DateSeptember 21, 2016
Opt-Out In Effect ThroughSeptember 21, 2026Opt-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 54401 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Susan Stacker's NPI number?

The NPI number for Susan Stacker is 1306903786. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Susan Stacker located?

Susan Stacker practices at 1220 N 6 Street, Wausau, WI 54401. The listed phone number is (715) 845-7759.

What is Susan Stacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Susan Stacker enrolled in Medicare?

No. Susan Stacker has opted out of Medicare through September 21, 2026. 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.

What insurance does Susan Stacker accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Companion Life Insurance Company and 6 other insurers list Susan Stacker 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 Susan Stacker was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.