DR. STACY L PETERSON M.D.
NPI 1316030638
Surgery - Plastic and Reconstructive Surgery in Wichita, KS

NPI Status: Active since September 30, 2006

Contact Information

818 N EMPORIA ST
SUITE 305
WICHITA, KS
ZIP 67214
Phone: (316) 265-1441
Fax: (316) 265-1685

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  • Individual
  • Male
  • Surgery
  • Plastic and Reconstructive Surgery

About STACY PETERSON

This page provides the complete NPI Profile along with additional information for Stacy Peterson, a provider established in Wichita, Kansas with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1316030638 assigned on September 2006. The practitioner's primary taxonomy code is 2086S0122X with license number 0419242 (KS). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1316030638
Provider Name
DR. STACY L PETERSON M.D.
Gender
Male
Entity Type
Individual
Location Address
818 N EMPORIA ST SUITE 305 WICHITA, KS 67214
Location Phone
(316) 265-1441
Location Fax
(316) 265-1685
Mailing Address
818 N EMPORIA ST SUITE 305 WICHITA, KS 67214
Mailing Phone
(316) 265-1441
Mailing Fax
(316) 265-1685
Is Sole Proprietor?
Yes
Enumeration Date
09-30-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
0419242
License State
KS
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
010967MEDICARE ID-TYPE UNSPECIFIED (04)KS 
B69280MEDICARE UPIN (02) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 27 times for 26 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 58 times for 58 patients

Reviews for DR. STACY L PETERSON M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316030638, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 0 + 3 + 0 + 6 + 6 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1316030638.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
818 N EMPORIA ST, SUITE 200
WICHITA, KS 67214
Dentist
818 N EMPORIA ST, STE 101
WICHITA, KS 67214
Psychiatry & Neurology (Neurology)
818 N EMPORIA ST, SUITE 308
WICHITA, KS 67214
Internal Medicine (Hematology & Oncology)
818 N EMPORIA ST, SUITE 403
WICHITA, KS 67214
Internal Medicine (Hematology & Oncology)
818 N EMPORIA ST, SUITE 403
WICHITA, KS 67214
Internal Medicine (Hematology & Oncology)
818 N EMPORIA ST, SUITE 403
WICHITA, KS 67214
Internal Medicine (Hematology & Oncology)
818 N EMPORIA ST, SUITE 403
WICHITA, KS 67214
Internal Medicine (Nephrology)
818 N EMPORIA ST, SUITE 310
WICHITA, KS 67214
Internal Medicine (Nephrology)
818 N EMPORIA ST, SUITE 310
WICHITA, KS 67214
Internal Medicine (Nephrology)
818 N EMPORIA ST, SUITE 310
WICHITA, KS 67214
Nurse Practitioner
818 N EMPORIA ST, STE 200
WICHITA, KS 67214
Internal Medicine (Nephrology)
818 N EMPORIA ST, SUITE 310
WICHITA, KS 67214
Internal Medicine (Nephrology)
818 N EMPORIA ST, SUITE 310
WICHITA, KS 67214
Internal Medicine (Nephrology)
818 N EMPORIA ST, SUITE 310
WICHITA, KS 67214
818 N EMPORIA ST, SUITE 200
WICHITA, KS 67214
Nurse Practitioner (Adult Health)
818 N EMPORIA ST, SUITE 403
WICHITA, KS 67214
Orthopaedic Surgery
818 N EMPORIA ST, SUITE 107
WICHITA, KS 67214
Internal Medicine (Hematology & Oncology)
818 N EMPORIA ST, SUITE 403
WICHITA, KS 67214
Internal Medicine (Nephrology)
818 N EMPORIA ST, SUITE310
WICHITA, KS 67214
Internal Medicine
818 N EMPORIA ST, SUITE 310
WICHITA, KS 67214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316030638, enumerated as an "individual" on September 30, 2006.

The provider is located at 818 N EMPORIA ST SUITE 305 WICHITA, KS 67214 and the phone number is (316) 265-1441.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.