DR. STACIE LUTHER DAUGHERTY MD
NPI 1366589632
Internal Medicine - Cardiovascular Disease in Lone Tree, CO

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
10240 PARK MEADOWS DR, LONE TREE, CO 80124(303) 338-4545 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacie Luther Daugherty Md NPPES

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

DR. STACIE LUTHER DAUGHERTY MD (NPI 1366589632) is an individual cardiovascular disease provider in Lone Tree, Colorado, licensed in Colorado (42656) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1366589632
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. STACIE LUTHER DAUGHERTYCredential: MD
Location Address10240 PARK MEADOWS DRLone Tree, CO 80124-5425
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1366589632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CO · 42656
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
10240 PARK MEADOWS DR, Lone Tree, CO 80124

Other Names 1

Former Name (1)Stacie Anne Luther

Other Identifiers 2

Medicaid06673759CO
Other029331CO · Kaiser Commercial Number

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. Stacie Luther Daugherty 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 ID7416972476
PECOS Enrollment IDI20051008000091
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 80124 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 20

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

Registered Nurse
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Registered Nurse
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Physical Therapist
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Registered Nurse
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Nurse Practitioner (Family)
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Nurse Practitioner (Adult Health)
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Specialist/Technologist, Other (Surgical Assistant)
10240 PARK MEADOWS DR
LONE TREE, CO 80124
Physical Therapist
10240 PARK MEADOWS DR
LONE TREE, CO 80124

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 Stacie Daugherty's NPI number?

The NPI number for Stacie Daugherty is 1366589632. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Stacie Anne Luther.

Where is Stacie Daugherty located?

Stacie Daugherty practices at 10240 Park Meadows Dr, Lone Tree, CO 80124. The listed phone number is (303) 338-4545.

What is Stacie Daugherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stacie Daugherty enrolled in Medicare?

Yes. Stacie Daugherty 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.

When was this NPI record last updated?

The NPPES record for Stacie Daugherty was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.