STACEY A BERRY MD
NPI 1336190313
Pathology - Pediatric Pathology in Fort Worth, TX
About Stacey A Berry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY A BERRY MD (NPI 1336190313) is an individual pediatric pathology provider in Fort Worth, Texas, licensed in Texas (Q9959) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey A Berry 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
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 Stacey Berry's NPI number?
The NPI number for Stacey Berry is 1336190313. It was assigned to this individual provider in the NPPES registry on May 13, 2006.
Where is Stacey Berry located?
Stacey Berry practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4847.
What is Stacey Berry's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.
Is Stacey Berry enrolled in Medicare?
Yes. Stacey Berry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stacey Berry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Berry reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Berry accept?
Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Stacey Berry 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 Stacey Berry was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Stacey A Berry, MD · NPI 1336190313
Pediatric Pathology physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since May 13, 2006.
## Identity
- **NPI:** 1336190313 (Entity type: Individual)
- **Enumerated:** May 13, 2006
- **Primary specialty:** Pathology - Pediatric Pathology · taxonomy 207ZP0213X
- **State license:** Q9959 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 7TH AVE, Fort Worth, TX 76104-2733
- **Phone:** (682) 885-4847 · **Fax:** (682) 885-6111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** April 21, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1336190313) · Data from the CMS NPPES public registry.