DR. STACIE LEIGH CAMPO MD
NPI 1417111576
Surgery in Missoula, MT

Q: What is Stacie Campo's NPI number?

The NPI number for Stacie Campo is 1417111576. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Q: What is Stacie Campo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Campo was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 17, 2008PECOS Enrolled

74.98/100

CMS Quality Rating

2819 GREAT NORTHERN LOOP STE 200, MISSOULA, MT 59808(406) 542-7525(406) 829-0661 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 9, 2025, Nov 10, 2023, Mar 23, 2023 and 2 more (5 updates tracked since 2021).

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About Dr. Stacie Leigh Campo Md NPPES

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

DR. STACIE LEIGH CAMPO MD (NPI 1417111576) is an individual surgery provider in Missoula, Montana, licensed in Montana (12755) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1417111576

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. STACIE LEIGH CAMPOCredential: MD

Location Address2819 GREAT NORTHERN LOOP STE 200Missoula, MT 59808-1750

Mailing AddressPo Box 7817, Missoula Surgical AssociatesMissoula, MT 59807 · (406) 542-7525 · Fax (406) 829-0661

Phone(406) 542-7525

Fax(406) 829-0661

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2006

Enumeration DateJuly 17, 2008

Last NPPES UpdateJune 9, 20255 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1417111576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MT · 12755✔ Licensed in WA · MD70010853

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2819 GREAT NORTHERN LOOP STE 200, Missoula, MT 59808

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Secondary Practice Location 1

Location 11615 Delaware StLongview, WA 98632-2367 · Phone (360) 501-3500 · Fax (360) 501-3555

Other Identifiers 1

Medicaid1417111576MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Mountain Health CO-OP 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 (PECOS)

Dr. Stacie Leigh Campo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082886338

PECOS Enrollment IDI20111007000600, I20250620003098, I20260511000981

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

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.

80 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

48 services19 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

41 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services22 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120002

Location221 Mahalani StreetWailuku, HI 96793 · Maui County

Birthing friendly

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500041

Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59808 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.87

Improvement Activities

Cost

40.77

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.

DR. KELSI JEANETTE JORE SWANSON MD

Surgery