STACY PHILIP MD
NPI 1366025207
Family Medicine in Tulsa, OK

Q: What is Stacy Philip's NPI number?

The NPI number for Stacy Philip is 1366025207. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Stacy Philip's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Philip was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment

3138 S GARNETT RD, TULSA, OK 74146(918) 203-7005(918) 400-0967 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, Nov 11, 2024, Sep 18, 2024 and 1 more (4 updates tracked since 2021).

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About Stacy Philip Md NPPES

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

STACY PHILIP MD (NPI 1366025207) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (38292) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Langlade Hospital, and maintains a secondary practice location in Wagoner.

NPPES Registry Identity

NPI1366025207

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACY PHILIPCredential: MD

Location Address3138 S GARNETT RDTulsa, OK 74146-1933

Mailing Address1200 W Cherokee StWagoner, OK 74467-4624 · (918) 485-5514

Phone(918) 203-7005

Fax(918) 400-0967

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2021

Enumeration DateApril 29, 2021

Last NPPES UpdateMay 23, 20254 updates tracked since enumeration

NPPES CertifiedMay 23, 2025

✔ NPI 1366025207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 38292

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 38292 (OK)

3138 S GARNETT RD, Tulsa, OK 74146

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Secondary Practice Location 1

Location 11200 W Cherokee StWagoner, OK 74467-4624 · Phone (918) 485-5514 · Fax (918) 485-1383

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, 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

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Philip 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 ID9830561992

PECOS Enrollment IDI20250818000062

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Langlade Hospital

Critical Access Hospitals · Antigo, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521350

Location112 E Fifth AveAntigo, WI 54409 · Langlade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 7

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

DANA MARIE STOURNARAS APRN

Nurse Practitioner (Family)